| Chacy Emmanuel Ong Llido, | |
|
400 N Eastern Ave, Moore, OK 73160-5833 | |
| (405) 757-7818 | |
| (405) 706-0645 |
| Full Name | Chacy Emmanuel Ong Llido |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 400 N Eastern Ave, Moore, Oklahoma |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245125210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Oklahoma) | Primary |
| Entity Name | Emergency Services of Oklahoma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Bradley Bibb MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194572040 PECOS PAC ID: 4789715285 Enrollment ID: O20240520001147 |
| Mailing Address | Practice Location Address |
|---|---|
| Chacy Emmanuel Ong Llido, Po Box 891625, Oklahoma City, OK 73189-1625 Ph: Not Available | Chacy Emmanuel Ong Llido, 400 N Eastern Ave, Moore, OK 73160-5833 Ph: (405) 757-7818 |
Leah Sitton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 551 Se 4th St, Moore, OK 73160 Phone: 405-703-9321 |
Mrs. Jessica Elise Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2109 S Santa Fe Ave, Moore, OK 73160 Phone: 405-213-0256 |
Mr. Tim M Laing, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 S Telephone Rd, Moore, OK 73160 Phone: 405-793-9355 |
Kenneth Demasters, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 507 Ne 12th St, Moore, OK 73160 Phone: 405-703-4202 |
Miss Kaitlin Elizabeth Wood, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2900 S Telephone Rd Ste 250, Moore, OK 73160 Phone: 405-237-7500 Fax: 405-237-7512 |
Makenzi Lane Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-378-5491 Fax: 405-378-5492 |
Ms. Lisa Danette West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 S Telephone Rd, Moore, OK 73160 Phone: 405-793-9355 Fax: 405-793-1621 |