Timothy Bushyhead, | |
1501 W Rogers Blvd, Skiatook, OK 74070 | |
(918) 396-4122 | |
(918) 403-6301 |
Full Name | Timothy Bushyhead |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 1501 W Rogers Blvd, Skiatook, 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 |
---|---|---|---|
1154718807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5953 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jane Phillips Regional Home Care, Llc | Bartlesville, OK | Home health agency |
Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
St John Owasso | Owasso, OK | Hospital |
St John Medical Center, Inc | Tulsa, OK | Hospital |
Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St John Physicians Inc | 2567366495 | 223 |
Omni Medical Group Inc | 9739080490 | 81 |
Entity Name | St John Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
Entity Name | Omni Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174578249 PECOS PAC ID: 9739080490 Enrollment ID: O20040115000897 |
Mailing Address | Practice Location Address |
---|---|
Timothy Bushyhead, 1501 W Rogers Blvd, Skiatook, OK 74070-3924 Ph: (918) 396-4122 | Timothy Bushyhead, 1501 W Rogers Blvd, Skiatook, OK 74070 Ph: (918) 396-4122 |
Layne Evan Subera, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E 2nd St, Skiatook, OK 74070 Phone: 918-396-1262 Fax: 918-396-4598 |