| Dr Stormy Ray Walkup, DO | |
|
1302 S Lynn Ln, Idabel, OK 74745-6860 | |
| (580) 286-3993 | |
| (580) 286-3967 |
| Full Name | Dr Stormy Ray Walkup |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 1302 S Lynn Ln, Idabel, 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 |
|---|---|---|---|
| 1710428958 | NPI | - | NPPES |
| 200730970A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6273 (Oklahoma) | Primary |
| 207P00000X | Emergency Medicine | 6273 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mays Housecall Home Health Of South East Ok, Llc | Idabel, OK | Home health agency |
| Alliancehealth Durant | Durant, OK | Hospital |
| Mccurtain Memorial Hospital | Idabel, OK | Hospital |
| Integris Marshall County Medical Center | Madill, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Durant Hma Physician Management Llc | 3375638976 | 21 |
| Walkup Family Medicine Clinic Llc | 6507279171 | 2 |
| Entity Name | Mccurtain Memorial Medical Management, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629020177 PECOS PAC ID: 8022926252 Enrollment ID: O20040626000315 |
| Entity Name | Nes Oklahoma, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528040722 PECOS PAC ID: 1456264324 Enrollment ID: O20040726000516 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050207000313 |
| Entity Name | Durant Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043361116 PECOS PAC ID: 3375638976 Enrollment ID: O20070927000304 |
| Entity Name | Oklahoma Emergency Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891039764 PECOS PAC ID: 0345493649 Enrollment ID: O20130118000115 |
| Entity Name | Walkup Family Medicine Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508461856 PECOS PAC ID: 6507279171 Enrollment ID: O20201229001497 |
| Entity Name | Elite Integral Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609648062 PECOS PAC ID: 0648612341 Enrollment ID: O20240528000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stormy Ray Walkup, DO 1302 S Lynn Ln, Idabel, OK 74745-6860 Ph: (805) 286-3993 | Dr Stormy Ray Walkup, DO 1302 S Lynn Ln, Idabel, OK 74745-6860 Ph: (580) 286-3993 |
Carol Ann Kerr, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-7623 Fax: 580-208-3127 | |
Dr. Hampton W Anderson Iii, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-2600 Fax: 580-286-1189 | |
Dr. Monty J Grugan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1301 E Lincoln Rd, Idabel, OK 74745 Phone: 580-208-3121 Fax: 580-208-3193 | |
Dr. Lisa A Baracker, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2809 Ne Lincoln Rd, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 | |
Jose J Gomez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Se Washington St, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 | |
Dr. William Joseph Herron, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1315 Lynn Lane, Idabel, OK 74745 Phone: 580-286-3328 Fax: 580-286-2444 | |
Mr. Michael Curtis West Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 S Indian Rd, Idabel, OK 74745 Phone: 580-286-6688 Fax: 580-286-6699 |