| Masood Ghouse, | |
|
430 N Monte Vista St, Ada, OK 74820-4610 | |
| (580) 421-1141 | |
| Not Available |
| Full Name | Masood Ghouse |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 20 Years |
| Location | 430 N Monte Vista St, Ada, 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 |
|---|---|---|---|
| 1215120928 | NPI | - | NPPES |
| F400194061 | Other | IL | MEDICARE PTAN |
| 036129177 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 036129177 (Illinois) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 8789 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ada | Ada, OK | Hospital |
| Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
| Chickasaw Nation Medical Center | Ada, OK | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Holdenville General Hospital | Holdenville, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Masood Ghouse, 430 N Monte Vista St, Ada, OK 74820-4610 Ph: (580) 421-1141 | Masood Ghouse, 430 N Monte Vista St, Ada, OK 74820-4610 Ph: (580) 421-1141 |
Gary L Paddack, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 902 Arlington Ctr, Pmb 224, Ada, OK 74820 Phone: 580-436-2262 Fax: 580-272-0186 | |
Dr. Shirley J Welden, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 | |
Dr. Shrina Parekh, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-301-6465 | |
Elizabeth Omojasola Omoniyi, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 520 N Monte Vista St Ste A, Ada, OK 74820 Phone: 580-453-3545 Fax: 580-453-3546 | |
Steven Louis Fillmore, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 | |
Connie Marie Wilson, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 |