| Patrick Timothy Prevo, MD | |
|
800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 | |
| (405) 231-2900 | |
| (405) 272-4905 |
| Full Name | Patrick Timothy Prevo |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 21 Years |
| Location | 800 Nw 9th St Ste 201, Oklahoma City, 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 |
|---|---|---|---|
| 1972770386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M8261 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 29457 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| 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 | Ssm Health Care Of Oklahoma, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033283932 PECOS PAC ID: 6709771207 Enrollment ID: O20040216000184 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Timothy Prevo, MD 800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 Ph: (405) 231-2900 | Patrick Timothy Prevo, MD 800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 Ph: (405) 231-2900 |
Cheng-lun Soo, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 S Western Ave Ste 100, Oklahoma City, OK 73170 Phone: 405-631-4263 Fax: 405-982-1583 | |
Arthur Douglas Beacham Iii, D.O. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 9800 Broadway Ext Ste 203, Oklahoma City, OK 73114 Phone: 405-424-5415 Fax: 405-424-5416 | |
Timothy Luke Cramer, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103 Phone: 405-232-8003 Fax: 405-232-8008 | |
Peyton Johnson, D.O. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 825 Ne 10th St Ste 2b, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8796 | |
Dr. Randall Wayne Henthorn, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 Ne 13th St, Oac 200, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Dr. Avani Sheth, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4200 W Memorial Rd, Ste 305, Oklahoma City, OK 73120 Phone: 405-841-7899 Fax: 405-749-9779 | |
Shawn Michael Ellis, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4345 W Memorial Rd Ste 110, Oklahoma City, OK 73134 Phone: 405-418-7000 |