| Mr David M Pagnanelli, MD | |
| 
					5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681  | |
| (580) 531-4600 | |
| (580) 531-6405 | 
| Full Name | Mr David M Pagnanelli | 
|---|---|
| Gender | Male | 
| Speciality | Neurological Surgery | 
| Location | 5604 Sw Lee Blvd, Lawton, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689669905 | NPI | - | NPPES | 
| 200035200A | Medicaid | OK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207T00000X | Neurological Surgery | 23774 (Oklahoma) | Primary | 
| Entity Name | Southwestern Surgical Affiliates, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013169531 PECOS PAC ID: 0941365308 Enrollment ID: O20090218000457  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr David M Pagnanelli, MD 5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 Ph: (580) 531-4600  | Mr David M Pagnanelli, MD 5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 Ph: (580) 531-4600  | 
Dr. Stephen Kwame Ofori-kwakye, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd, Suite 303, Lawton, OK 73505 Phone: 580-353-6000 Fax: 580-353-0800  | |
Christopher E. Neumann, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd Ste 300, Lawton, OK 73505 Phone: 580-248-5255 Fax: 580-248-2039  | |
Mark O Duncan, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Nw 31st St Fl 2, Lawton, OK 73505 Phone: 580-248-5255 Fax: 580-248-2036  | |
Johnny D Duncan, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd Ste 201, Lawton, OK 73505 Phone: 805-250-6659 Fax: 580-250-5249  |