| Layne Evan Subera, DO | |
|
201 E 2nd St, Skiatook, OK 74070-1211 | |
| (918) 396-1262 | |
| (918) 396-4598 |
| Full Name | Layne Evan Subera |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 201 E 2nd St, Skiatook, 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 |
|---|---|---|---|
| 1568483758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3385 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring Xxv | Tulsa, OK | Home health agency |
| Bailey Medical Center, Llc | Owasso, OK | Hospital |
| Ascension St John Jane Phillips | Bartlesville, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sdo Group Llc | 3072810738 | 2 |
| Entity Name | The Center for Therapeutic Interventions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831439066 PECOS PAC ID: 1759511827 Enrollment ID: O20140311001807 |
| Entity Name | Sdo Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811366032 PECOS PAC ID: 3072810738 Enrollment ID: O20160323000792 |
| Mailing Address | Practice Location Address |
|---|---|
| Layne Evan Subera, DO Po Box 428, Skiatook, OK 74070-0428 Ph: (918) 396-1262 | Layne Evan Subera, DO 201 E 2nd St, Skiatook, OK 74070-1211 Ph: (918) 396-1262 |
Timothy Bushyhead, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 W Rogers Blvd, Skiatook, OK 74070 Phone: 918-396-4122 Fax: 918-403-6301 |