| Mark Gregory Lipe, MD | |
|
4300 W Memorial Rd, Er Dept., Oklahoma City, OK 73120-8304 | |
| (405) 752-3733 | |
| (405) 749-4561 |
| Full Name | Mark Gregory Lipe |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 4300 W Memorial Rd, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275594228 | NPI | - | NPPES |
| 930046554 | Other | OK | RR MEDICARE |
| 100101520A | Medicaid | OK | |
| P00046981 | Other | OK | RR MEDICARE |
| 100101520B | Medicaid | OK | |
| 930126936 | Other | OK | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 16509 (Oklahoma) | Primary |
| Entity Name | Weatherford Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346494275 PECOS PAC ID: 9032021837 Enrollment ID: O20040413001105 |
| Entity Name | Emergency Physicians Of Mid-america Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Gregory Lipe, MD 4401 W Memorial Rd, Suite 121, Oklahoma City, OK 73134-1785 Ph: (405) 751-4664 | Mark Gregory Lipe, MD 4300 W Memorial Rd, Er Dept., Oklahoma City, OK 73120-8304 Ph: (405) 752-3733 |
Dr. Hunter Dale Cook, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 405-636-7709 | |
Alejandro Anzaldua, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 Ne 10th St, Fmc 2102, Oklahoma City, OK 73104 Phone: 405-271-2230 | |
Dr. Diana Dee Mills-maloney, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10312 Creek Meadow Dr, Oklahoma City, OK 73151 Phone: 405-771-3577 | |
Dr. David Brennan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 405-636-7000 | |
Dr. David M. Abercrombie, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1624 Grey Fox Run, Oklahoma City, OK 73131 Phone: 405-478-3969 Fax: 405-478-3815 | |
Dr. Amy L. Sparkman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 940 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-271-2429 | |
Robert D Crane, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3715 Fax: 405-936-5058 |