| Mitchell A Wolf, MD | |
|
3214 Kethley Rd, Shawnee, OK 74804-9625 | |
| (405) 273-5801 | |
| (405) 878-3794 |
| Full Name | Mitchell A Wolf |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 3214 Kethley Rd, Shawnee, 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 |
|---|---|---|---|
| 1174608319 | NPI | - | NPPES |
| P00366183 | Other | NV | RAILROAD MEDICARE |
| 100506264 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10580 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | 18589 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heartland Home Health Care And Hospice | Shawnee, OK | Home health agency |
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saints Medical Group, Llc | 7012914898 | 395 |
| Entity Name | Shawnee Medical Center Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Entity Name | St Anthony Shawnee Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619260411 PECOS PAC ID: 1052567328 Enrollment ID: O20121015000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell A Wolf, MD Po Box 258884, Oklahoma City, OK 73125-8884 Ph: (405) 231-3857 | Mitchell A Wolf, MD 3214 Kethley Rd, Shawnee, OK 74804-9625 Ph: (405) 273-5801 |
Dr. David Lewis Hadley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 N Broadway Ave, Shawnee, OK 74804 Phone: 405-273-7879 Fax: 405-273-7885 | |
Dr. Lara Del Mashek, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W Macarthur St, Shawnee, OK 74804 Phone: 405-273-2270 Fax: 405-878-3468 | |
Dr. Monika Durska-keller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Gaynell Schieber Anderson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W Macarthur St, Shawnee, OK 74804 Phone: 405-878-8110 Fax: 405-214-1551 | |
Russell Craig Click, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3204 Medical Park Dr, Shawnee, OK 74804 Phone: 405-878-6800 Fax: 405-878-6831 | |
Michael William Goddard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 N Broadway Ave Ste 300, Shawnee, OK 74801 Phone: 405-395-0399 Fax: 405-395-0330 |