| Nicole Paola Mathes, MD | |
|
800 W Boise Cir Ste 160, Broken Arrow, OK 74012-4932 | |
| (918) 994-9166 | |
| (918) 403-6306 |
| Full Name | Nicole Paola Mathes |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 800 W Boise Cir Ste 160, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023302007 | NPI | - | NPPES |
| 427183501 | Medicaid | TX | |
| 427183502 | Medicaid | TX | |
| 201278690A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | S3238 (Texas) | Primary |
| Entity Name | Omni Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174578249 PECOS PAC ID: 9739080490 Enrollment ID: O20040115000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Paola Mathes, MD 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 403-7065 | Nicole Paola Mathes, MD 800 W Boise Cir Ste 160, Broken Arrow, OK 74012-4932 Ph: (918) 994-9166 |
Dr. James Michael Ritze, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 S Elm Pl, Suite C, Broken Arrow, OK 74012 Phone: 918-451-9988 | |
Sujan Joshi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-449-9743 | |
Robert Jeffrey Wright, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Boise Cir Ste 160, Broken Arrow, OK 74012 Phone: 918-994-9160 Fax: 918-403-6306 | |
Christopher Jason Guinn, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2617 S Elm Pl Ste 100, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-449-9743 | |
Bart Rider, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2950 S Elm Pl, Ste 160, Broken Arrow, OK 74012 Phone: 918-449-3750 Fax: 918-449-3755 | |
Dr. Jefferey L Davis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2021 S Elm Place, Broken Arrow, OK 74012 Phone: 918-806-6461 Fax: 918-806-6710 |