| Laura Shannon Gilmore, MD | |
|
102 N Broadway, Carnegie, OK 73015-9800 | |
| (800) 942-2904 | |
| Not Available |
| Full Name | Laura Shannon Gilmore |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 24 Years |
| Location | 102 N Broadway, Carnegie, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295764108 | NPI | - | NPPES |
| 200086480B | Medicaid | OK | |
| 22979 | Other | OK | OK LICENSE # |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Carnegie Tri-county Municipal Hospital | Carnegie, OK | Hospital |
| Mangum Regional Medical Center | Mangum, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healogics Specialty Physicians Of Oklahoma Pllc | 2264758705 | 20 |
| Mangum City Hospital Authority | 6305119942 | 8 |
| Prague Healthcare Authority | 8123435187 | 10 |
| Entity Name | Pawhuska Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174521991 PECOS PAC ID: 7012906548 Enrollment ID: O20040510001389 |
| Entity Name | Carnegie Tri-county Municipal Hospital Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275657017 PECOS PAC ID: 6800835935 Enrollment ID: O20050429000480 |
| Entity Name | Healogics Specialty Physicians Of Oklahoma Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144625740 PECOS PAC ID: 2264758705 Enrollment ID: O20150227001987 |
| Entity Name | Seiling Municipal Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942757554 PECOS PAC ID: 9830189059 Enrollment ID: O20161109001174 |
| Entity Name | Mangum City Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033635263 PECOS PAC ID: 6305119942 Enrollment ID: O20181020000126 |
| Entity Name | Prague Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851537096 PECOS PAC ID: 8123435187 Enrollment ID: O20210524002299 |
| Entity Name | Total Wound Care Of Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972269033 PECOS PAC ID: 1254724081 Enrollment ID: O20220131001299 |
| Entity Name | Paradigm Wound Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326818329 PECOS PAC ID: 4284086828 Enrollment ID: O20240118003228 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Shannon Gilmore, MD 1813 Abilene Ct, Grand Prairie, TX 75052-2200 Ph: (405) 474-7757 | Laura Shannon Gilmore, MD 102 N Broadway, Carnegie, OK 73015-9800 Ph: (800) 942-2904 |