| Mr Breece Michael Eberley, MD | |
|
10502 N 110th East Ave, Owasso, OK 74055-6655 | |
| (918) 376-8190 | |
| (918) 376-8479 |
| Full Name | Mr Breece Michael Eberley |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 10502 N 110th East Ave, Owasso, 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 |
|---|---|---|---|
| 1689626376 | NPI | - | NPPES |
| 100259460A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21230 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Meyer C And Ida Miller Hospice | Tulsa, OK | Hospice |
| Bailey Medical Center, Llc | Owasso, OK | Hospital |
| Hillcrest Hospital Pryor | Pryor, OK | Hospital |
| Hillcrest Hospital South | Tulsa, OK | Hospital |
| Hillcrest Medical Center | Tulsa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tulsa Hospital Medicine Physicians Group, Llc | 7214327832 | 123 |
| Entity Name | Ahs Oklahoma Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
| Entity Name | Hospital Care Consultants Region Ii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558491449 PECOS PAC ID: 8820197064 Enrollment ID: O20070727000300 |
| Entity Name | Hcc Duncan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013153543 PECOS PAC ID: 1759447873 Enrollment ID: O20090225000497 |
| Entity Name | Tulsa Hospital Medicine Physicians Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144982711 PECOS PAC ID: 7214327832 Enrollment ID: O20211214000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Breece Michael Eberley, MD 603 North Progress Ave, Siloam Springs, AR 72761-4353 Ph: (479) 215-3050 | Mr Breece Michael Eberley, MD 10502 N 110th East Ave, Owasso, OK 74055-6655 Ph: (918) 376-8190 |
Dr. Augustus L Caine Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12455 E 100th St N Ste 260, Owasso, OK 74055 Phone: 918-274-5560 Fax: 918-403-6336 | |
James Hanlon, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 13600 E 86th St N, Ste 100, Owasso, OK 74055 Phone: 918-272-9313 | |
Jeffrey Brian Craig, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12455 E 100th St N Ste 350, Owasso, OK 74055 Phone: 918-274-5510 Fax: 918-403-6312 | |
Dr. Deborah Jean Dejarnett, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 10502 N 110th E Ave, Bailey Medical Center, Owasso, OK 74055 Phone: 918-376-8971 Fax: 918-376-8549 | |
Marjorie Bennett, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 13600 E 86th St N, 100, Owasso, OK 74055 Phone: 918-272-9313 Fax: 918-293-3117 | |
Dr. Russell Dale Moneypenny, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10512 N 110th East Ave, Suite 300, Owasso, OK 74055 Phone: 918-376-8900 Fax: 918-376-8990 |