Patrick Timothy Prevo, MD | |
535 Nw 9th St, Suite 205, Oklahoma City, OK 73102-1070 | |
(405) 231-2900 | |
(405) 272-4905 |
Full Name | Patrick Timothy Prevo |
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Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 20 Years |
Location | 535 Nw 9th St, 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 |
---|---|---|
Saint Medical Group, Llc | 7012914898 | 298 |
Entity Name | Shawnee Medical Center Clinic, Inc. |
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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. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033283932 PECOS PAC ID: 6709771207 Enrollment ID: O20040216000184 |
Entity Name | Saint 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 |
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Patrick Timothy Prevo, MD 535 Nw 9th St, Suite 205, Oklahoma City, OK 73102-1070 Ph: (405) 231-2900 | Patrick Timothy Prevo, MD 535 Nw 9th St, Suite 205, Oklahoma City, OK 73102-1070 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 | |
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 | |
Dr. Scott A Mitchell, DO Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Nw 138th St, Ste 200, Oklahoma City, OK 73134 Phone: 405-775-9350 Fax: 405-775-9360 |