| Phonekeo Khamvanthong, MD | |
|
3517 W Owen K Garriott Rd Ste 4, Enid, OK 73703-4953 | |
| (580) 233-5553 | |
| (859) 260-4350 |
| Full Name | Phonekeo Khamvanthong |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3517 W Owen K Garriott Rd Ste 4, Enid, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750519922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | TP911 (Kentucky) | Primary |
| Entity Name | St Marys Physician Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740302751 PECOS PAC ID: 3678672276 Enrollment ID: O20070622000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Phonekeo Khamvanthong, MD 3517 W Owen K Garriott Rd Ste 4, Enid, OK 73703-4953 Ph: (580) 233-5553 | Phonekeo Khamvanthong, MD 3517 W Owen K Garriott Rd Ste 4, Enid, OK 73703-4953 Ph: (580) 233-5553 |
Dr. Michael B Scott, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 915 E Garriott Rd, Ste B, Enid, OK 73701 Phone: 580-233-5544 Fax: 580-233-7895 | |
Dr. David Matousek, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 S 5th St Ste 302, Enid, OK 73701 Phone: 580-234-3320 | |
David Barnard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 527 Gott Rd, Enid, OK 73705 Phone: 580-213-6239 | |
Aaron Scott Sizelove, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 E Garriott Rd, Suite B, Enid, OK 73701 Phone: 580-213-9745 Fax: 580-234-5749 | |
Dr. Garrett Shelton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3517 W Owen K Garriott Rd, Suite Four, Enid, OK 73703 Phone: 580-233-5553 | |
Dr. Chang Liu Lipinski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 527 Gott Rd, Enid, OK 73705 Phone: 580-213-5153 Fax: 580-213-7959 | |
Monica Ashley Wilder, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 N Van Buren St, Enid, OK 73703 Phone: 580-297-9993 |