| Stephen I Hutchins, MD | |
|
301 Wanda St, Marietta, OK 73448-1229 | |
| (580) 276-2400 | |
| (580) 276-4358 |
| Full Name | Stephen I Hutchins |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 301 Wanda St, Marietta, 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 |
|---|---|---|---|
| 1073564597 | NPI | - | NPPES |
| 100004780A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16223 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Mercy Health Love County | Marietta, OK | Hospital |
| Integris Marshall County Medical Center | Madill, OK | Hospital |
| Brookside Nursing Center | Madill, OK | Nursing home |
| Southbrook Healthcare, Inc | Ardmore, OK | Nursing home |
| Elmbrook Home | Ardmore, OK | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Love County Health Center | 4880580950 | 5 |
| Lighthouse Behavioral Wellness Centers | 6406748961 | 36 |
| Entity Name | Love County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881723013 PECOS PAC ID: 4880580950 Enrollment ID: O20040225000703 |
| Entity Name | Lighthouse Behavioral Wellness Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen I Hutchins, MD 301 Wanda St, Marietta, OK 73448-1229 Ph: (580) 276-2400 | Stephen I Hutchins, MD 301 Wanda St, Marietta, OK 73448-1229 Ph: (580) 276-2400 |
Larry Dean Powell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 Fax: 580-276-4358 | |
Yanet Camarena, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 | |
John Thomas O'connor Jr., D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 Fax: 580-276-4358 |