Paul P Devaneson, MD | |
2225 Sw 59th St, Oklahoma City, OK 73119-7026 | |
(405) 680-8856 | |
(405) 680-7176 |
Full Name | Paul P Devaneson |
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Gender | Male |
Speciality | Family Medicine |
Location | 2225 Sw 59th St, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578583373 | NPI | - | NPPES |
140331342 | Medicaid | TX | |
1611557 | Other | ECFMG | |
200076810B | Medicaid | OK |
Entity Name | Rosebud Indian Health Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Entity Name | Southwest Medical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
Entity Name | Concord Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Mailing Address | Practice Location Address |
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Paul P Devaneson, MD 2225 Sw 59th St, Oklahoma City, OK 73119-7026 Ph: (405) 680-8856 | Paul P Devaneson, MD 2225 Sw 59th St, Oklahoma City, OK 73119-7026 Ph: (405) 680-8856 |
Alyssa Penick, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 Nw 9th St Ste 1100, Oklahoma City, OK 73102 Phone: 405-231-3000 | |
Dr. Carl Patrick Griffin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3555 Nw 58th St, Suite 801, Oklahoma City, OK 73112 Phone: 405-840-7003 Fax: 405-840-8221 | |
Dewey C Scheid, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-271-4311 Fax: 405-271-2797 | |
Dr. Johnaqa Saidi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9220 S Pennsylvania Ave Ste A, Oklahoma City, OK 73159 Phone: 405-691-4497 Fax: 405-692-8807 | |
Mrs. Lauren Cathleen Hopkins, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Nw 56th St Ste 100, Oklahoma City, OK 73112 Phone: 405-951-2855 | |
Dr. Gurdeep Singh Grewal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-271-4311 | |
Dr. Cynthia M Brennan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9100 N May Ave, Oklahoma City, OK 73120 Phone: 405-840-4456 Fax: 405-840-4295 |