| Larry D Lewis, MD | |
|
1401 E Van Buren Ave, Mcalester, OK 74501-4245 | |
| (918) 426-0240 | |
| (918) 423-4051 |
| Full Name | Larry D Lewis |
|---|---|
| Gender | Male |
| 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 |
|---|---|---|---|
| 1538122783 | NPI | - | NPPES |
| 1324230001 | Other | OK | PALMETTO DME |
| 731310891028 | Other | OK | TRICARE SOUTH |
| D34939 | Other | OK | STERLING OPTION 1 |
| 731310891006 | Other | OK | UNICARE |
| 74502A003 | Other | OK | CHAMPUS (WPS) |
| 0166707 | Other | OK | UMWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15080 (Oklahoma) | Primary |
| Entity Name | Oklahoma Cancer Specialists And Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104291236 PECOS PAC ID: 0042513558 Enrollment ID: O20160115001766 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D Lewis, MD Po Box 908, Mcalester, OK 74502-0908 Ph: (918) 426-0240 | Larry D Lewis, MD 1401 E Van Buren Ave, Mcalester, OK 74501-4245 Ph: (918) 426-0240 |
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: Accepting Medicare Assignments Practice Location: 10 S 3rd St, Mcalester, OK 74501 Phone: 918-527-2626 | |
Sarah Elizabeth Sharp, FNP-BC Family Medicine Medicare: Medicare Enrolled 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 |