| Bradley Taylor, PA-C | |
|
808 Carter St Se, Ardmore, OK 73401-8524 | |
| (580) 504-9468 | |
| Not Available |
| Full Name | Bradley Taylor |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 808 Carter St Se, Ardmore, 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 |
|---|---|---|---|
| 1114528247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4463 (Oklahoma) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health Love County | Marietta, OK | Hospital |
| Mercy Hospital Healdton, Inc. | Healdton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Healdton Inc | 3375610447 | 13 |
| 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 | Love County Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1649221557 PECOS PAC ID: 4880580950 Enrollment ID: O20080530000188 |
| Entity Name | Mercy Hospital Healdton Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568615656 PECOS PAC ID: 3375610447 Enrollment ID: O20090205000358 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Entity Name | Mercy Hospital Watonga Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1497017529 PECOS PAC ID: 6305002759 Enrollment ID: O20140110000184 |
| Entity Name | Mercy Hospital Kingfisher, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1285064618 PECOS PAC ID: 5395970180 Enrollment ID: O20140416000368 |
| Entity Name | Mercy Hospital Tishomingo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972809002 PECOS PAC ID: 1557542032 Enrollment ID: O20180507002045 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Taylor, PA-C 808 Carter St Se, Ardmore, OK 73401-8524 Ph: Not Available | Bradley Taylor, PA-C 808 Carter St Se, Ardmore, OK 73401-8524 Ph: (580) 504-9468 |
Rhea Michelle Buycks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 317 N Rockford Rd, Ardmore, OK 73401 Phone: 580-319-4242 Fax: 580-798-4612 |
Shawn Fadum, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1104 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 |
Roldon Sanchez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite B, Ardmore, OK 73401 Phone: 580-223-4795 Fax: 580-223-5184 |
Andrea Ann Bean, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste G, Ardmore, OK 73401 Phone: 580-490-9411 Fax: 580-490-9415 |
Robert Dean Hanna, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1505 N Commerce St, Ste 203, Ardmore, OK 73401 Phone: 580-223-6555 Fax: 580-226-4617 |
Nathan Daniel Murray, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6658 Fax: 580-220-6673 |
Mrs. Daphnee Marie Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1104 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 |