| Rakesh Shrivastava, MD | |
|
105 S Bryant Ave Ste 101, Edmond, OK 73034-6330 | |
| (405) 861-0004 | |
| (855) 680-8890 |
| Full Name | Rakesh Shrivastava |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 28 Years |
| Location | 105 S Bryant Ave Ste 101, Edmond, 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 |
|---|---|---|---|
| 1043250863 | NPI | - | NPPES |
| 000924679001 | Other | HEALTHNOW | |
| MDG288 | Other | PREFERRED CARE MCO | |
| P010001487 | Other | BLUE CHOICE MCO | |
| P010001487 | Other | MONROE PLAN | |
| 107177BJ | Other | PREFERRED CARE MCO | |
| 9704619 | Other | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 27981 (Oklahoma) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 27981 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| O U Medical Center | Oklahoma city, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Entity Name | Shoolin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972012722 PECOS PAC ID: 0840566881 Enrollment ID: O20171019000878 |
| Entity Name | Midwest Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376011478 PECOS PAC ID: 9133465354 Enrollment ID: O20190109001451 |
| Entity Name | Rural Wellness Fairfax Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295362564 PECOS PAC ID: 3678904752 Enrollment ID: O20200506001548 |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Entity Name | Great Plains Cardiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851057418 PECOS PAC ID: 8022407675 Enrollment ID: O20211119001187 |
| Entity Name | Rural Wellness Anadarko Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538825120 PECOS PAC ID: 3274926100 Enrollment ID: O20220216002693 |
| Mailing Address | Practice Location Address |
|---|---|
| Rakesh Shrivastava, MD Po Box 8350, Edmond, OK 73083-8350 Ph: (405) 861-0004 | Rakesh Shrivastava, MD 105 S Bryant Ave Ste 101, Edmond, OK 73034-6330 Ph: (405) 861-0004 |
Viorica Khalili, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 105 S Bryant Ave, Suite 202, Edmond, OK 73034 Phone: 405-340-4565 Fax: 405-340-4583 | |
Dr. Royce Lee Bargas, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3839 S Boulevard Ste 100, Edmond, OK 73013 Phone: 405-607-4445 | |
Dr. Brian Levy, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 124 N Bryant Ave, C4, Edmond, OK 73034 Phone: 405-330-7606 Fax: 405-330-7607 | |
Dr. Craig W Carson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 Phone: 405-844-4978 Fax: 405-844-0562 | |
Laurie Anne Orme, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 301 E Waterloo Rd, Edmond, OK 73034 Phone: 405-715-2000 Fax: 405-715-2010 | |
Jeremy Brandon Moad, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave Ste 104, Edmond, OK 73034 Phone: 405-715-2022 Fax: 405-715-2905 |