| James Neal Dillard Iii, PA-C | |
|
7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | |
| (405) 582-6252 | |
| Not Available |
| Full Name | James Neal Dillard Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 7050 Air Depot Blvd, Tinker Afb, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114486701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110008292 (Virginia) | Primary |
| Entity Name | Emergency Physicians of Midwest City LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558386474 PECOS PAC ID: 7911960844 Enrollment ID: O20041110001156 |
| Mailing Address | Practice Location Address |
|---|---|
| James Neal Dillard Iii, PA-C 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 Ph: (405) 582-6252 | James Neal Dillard Iii, PA-C 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 Ph: (405) 582-6252 |
Brooke Ryan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Tinker Mdg, 7050 S Air Depot Blvd Suite 1094, Tinker Afb, OK 73145 Phone: 405-582-6099 |
Micheal Hurtado, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot Blvd, Tinker Afb, OK 73145 Phone: 405-734-2778 |
Steven L Hilton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145 Phone: 843-814-1590 |
Caitlin Elizabeth Michael, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5700 Arnold St, 72mdg/sgol, Tinker Afb, OK 73145 Phone: 405-736-2700 |
Juan Fulgencio Mercado Guzman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot Blvd, Tinker Afb, OK 73145 Phone: 405-582-6644 |
Rebecca G Prim, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot, Bldg 1094, Tinker Afb, OK 73145 Phone: 405-582-6610 Fax: 405-736-3619 |
Patrick David Jones, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 72nd Medical Group, 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145 Phone: 405-734-2778 |