| Kristopher R Avant, DO | |
|
1805 Commons Cir Ste 100-c, Yukon, OK 73099-9519 | |
| (405) 265-0165 | |
| (405) 265-0897 |
| Full Name | Kristopher R Avant |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 19 Years |
| Location | 1805 Commons Cir Ste 100-c, Yukon, 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 |
|---|---|---|---|
| 1386833408 | NPI | - | NPPES |
| 4499 | Other | OK | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4499 (Oklahoma) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 4499 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Entrust Home Health | Oklahoma city, OK | Home health agency |
| Oklahoma Center For Orthopaedic & Multi-sp | Oklahoma city, OK | Hospital |
| Integris Southwest Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Orthopaedic Specialists, Pllc | 9931180346 | 21 |
| Entity Name | Southwest Orthopaedic Specialists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669559720 PECOS PAC ID: 9931180346 Enrollment ID: O20040601000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristopher R Avant, DO 8100 S Walker Ave Bldg A, Oklahoma City, OK 73139-9475 Ph: (405) 632-4468 | Kristopher R Avant, DO 1805 Commons Cir Ste 100-c, Yukon, OK 73099-9519 Ph: (405) 265-0165 |
Corey Edwin Mayo, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1651 Professional Cir, Yukon, OK 73099 Phone: 405-350-6770 Fax: 405-350-6768 | |
Michael J Davoli Ii, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1651 Professional Circle, Yukon, OK 73099 Phone: 405-350-6770 Fax: 405-350-6768 | |
Dr. Craig A Rogers, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1651 Professional Cir, Yukon, OK 73099 Phone: 405-350-6770 Fax: 405-350-6768 |