| Mason B Andrews, MD | |
|
102 S Van Buren St, Enid, OK 73703-5866 | |
| (580) 242-7030 | |
| (580) 242-7033 |
| Full Name | Mason B Andrews |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 20 Years |
| Location | 102 S Van Buren St, Enid, 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 |
|---|---|---|---|
| 1255473054 | NPI | - | NPPES |
| 200163910A | Medicaid | OK | |
| 30004780120001 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 04-46767 (Kansas) | Secondary |
| 207T00000X | Neurological Surgery | 24481 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Bergan Mercy | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alegent Creighton Clinic | 1951210418 | 890 |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Entity Name | Chi Health Clinic Specialty Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Mason B Andrews, MD Po Box 3046, Malvern, PA 19355-0746 Ph: (580) 242-7030 | Mason B Andrews, MD 102 S Van Buren St, Enid, OK 73703-5866 Ph: (580) 242-7030 |
Bruce D Pendleton, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 620 S Madison St, Suite 202, Enid, OK 73701 Phone: 580-616-7605 Fax: 580-616-7626 | |
Mr. Barry L Pollard, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 102 S Van Buren, Enid, OK 73703 Phone: 580-242-7030 Fax: 580-242-7033 |