Katharine Raedy Matli, DO | |
1401 E Van Buren Ave, Mcalester, OK 74501-4245 | |
(918) 421-8440 | |
(918) 421-8750 |
Full Name | Katharine Raedy Matli |
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Gender | Female |
Speciality | Family Medicine |
Location | 1401 E Van Buren Ave, Mcalester, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710569066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | T8274 (Texas) | Secondary |
207Q00000X | Family Medicine | 9047 (Oklahoma) | Primary |
207Q00000X | Family Medicine | BP10074691 (Texas) | Secondary |
Entity Name | Heart Of Texas Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568191492 PECOS PAC ID: 1153370242 Enrollment ID: O20050114000813 |
Entity Name | Vesper Medical Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164096145 PECOS PAC ID: 4880097237 Enrollment ID: O20210723000182 |
Mailing Address | Practice Location Address |
---|---|
Katharine Raedy Matli, DO 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: (918) 499-4855 | Katharine Raedy Matli, DO 1401 E Van Buren Ave, Mcalester, OK 74501-4245 Ph: (918) 421-8440 |
Dr. Johnny A Zellmer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Elks Road, Mcalester, OK 74501 Phone: 918-426-2442 Fax: 918-426-0888 | |
Janet H Green, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-426-0240 Fax: 918-423-4051 | |
William Edwin Gupton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-426-0240 Fax: 918-423-4051 | |
Kyle A Stilwell, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10 S 3rd St, Mcalester, OK 74501 Phone: 918-527-2626 | |
Sarah Elizabeth Sharp, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2206 N Main St, Mcalester, OK 74501 Phone: 918-420-9340 Fax: 918-420-9345 | |
Jantzen Matli, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-421-8440 Fax: 918-421-8750 | |
Jennifer Kim, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 E Clark Bass Blvd Ste 300, Mcalester, OK 74501 Phone: 918-421-6795 Fax: 918-421-6791 |