| Walter L Gadberry, M D | |
|
1400 Bryan Dr Ste 307, Durant, OK 74701-2158 | |
| (580) 256-2820 | |
| (580) 256-7336 |
| Full Name | Walter L Gadberry |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 1400 Bryan Dr Ste 307, Durant, 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 |
|---|---|---|---|
| 1912955626 | NPI | - | NPPES |
| 100230600A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 19690 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coon Memorial Hospital | Dalhart, TX | Hospital |
| Golden Plains Community Hospital | Borger, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gpch Llc | 0042303232 | 9 |
| Dallam-hartley Counties Hospital District | 0143112805 | 13 |
| Dallam-hartley Counties Hospital District | 0143112805 | 13 |
| Entity Name | Gpch Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841497153 PECOS PAC ID: 0042303232 Enrollment ID: O20090311000280 |
| Entity Name | Ess Of South Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
| Entity Name | Hcc Of Borger Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134693245 PECOS PAC ID: 4789927492 Enrollment ID: O20190521002315 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter L Gadberry, M D 1400 Bryan Dr. Suite 307, Durant, OK 74701 Ph: (580) 256-2820 | Walter L Gadberry, M D 1400 Bryan Dr Ste 307, Durant, OK 74701-2158 Ph: (580) 256-2820 |
James R Sumner, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1610 W University Blvd, Durant, OK 74701 Phone: 580-924-3400 Fax: 580-924-7732 | |
Randall Jason Davault, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1706 Delivery Ln, Durant, OK 74701 Phone: 580-924-0110 Fax: 580-920-9976 | |
Dr. Lindsay J Davault, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Bryan Dr Ste 307, Durant, OK 74701 Phone: 580-931-9400 |