| Jesse Grant, MD | |
|
2701 N Rockwell Ave, Bethany, OK 73008-5246 | |
| (405) 789-4150 | |
| (405) 789-1067 |
| Full Name | Jesse Grant |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 2701 N Rockwell Ave, Bethany, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871118208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35971 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Home Health | Oklahoma city, OK | Home health agency |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Grant, MD 2701 N Rockwell Ave, Bethany, OK 73008-5246 Ph: (405) 789-4150 | Jesse Grant, MD 2701 N Rockwell Ave, Bethany, OK 73008-5246 Ph: (405) 789-4150 |
Russell D. Ingram, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-8550 Fax: 405-787-4982 | |
Catherine Phuong Le, MSN, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 | |
Dr. Dustin R Baker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-470-6510 Fax: 405-470-6520 | |
Debra A. Riggs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Rockwell Ave, Bethany, OK 73008 Phone: 405-789-4150 Fax: 405-787-7920 | |
Dr. Wade T Mccoy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-7747 Fax: 405-789-6734 | |
Dr. Joseph C Broome, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-4915 Fax: 405-789-6303 | |
Bucy Annie Rajan Thomas, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-349-5145 |