| Mark Damon Ii, DO | |
|
1011 14th Ave Nw, Ardmore, OK 73401-1828 | |
| (580) 220-6658 | |
| (580) 220-6673 |
| Full Name | Mark Damon Ii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 1011 14th Ave Nw, Ardmore, 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 |
|---|---|---|---|
| 1124256888 | NPI | - | NPPES |
| 200250290A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 04752 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Heart Of Florida | Davenport, FL | Hospital |
| Adventhealth Lake Wales | Lake wales, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgewood Emergency Group, Llc | 6305199597 | 36 |
| Lake Wales Emergency Physicians, Llc | 8022270461 | 25 |
| Entity Name | Lake Wales Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033480405 PECOS PAC ID: 8022270461 Enrollment ID: O20120502000079 |
| Entity Name | Ridgewood Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750862694 PECOS PAC ID: 6305199597 Enrollment ID: O20181106001193 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Damon Ii, DO 4401 W Memorial Rd, 140, Oklahoma City, OK 73134-1785 Ph: (405) 762-3162 | Mark Damon Ii, DO 1011 14th Ave Nw, Ardmore, OK 73401-1828 Ph: (580) 220-6658 |
Jeffery Thomas Ross, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6132 Fax: 580-220-6772 | |
Ernest Byron Foster Ii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6658 Fax: 580-220-6673 | |
Dr. Daniel Ryan Wheeler, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6588 | |
Lindsay Anne Wilson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6132 Fax: 580-220-6772 | |
Daniel Francis Mckinley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6658 Fax: 580-220-6673 | |
Dr. Jason Andrew Carter, MD, MHSA, FACEP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 4th Ave Nw Ste 96, Ardmore, OK 73401 Phone: 417-612-3985 |