| Kevin Beaver, | |
|
430 N Monte Vista St, Ada, OK 74820-4610 | |
| (580) 421-1127 | |
| (580) 436-6674 |
| Full Name | Kevin Beaver |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 430 N Monte Vista St, Ada, 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 |
|---|---|---|---|
| 1528426442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2637 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oklahoma Heart Hospital South, Llc | Oklahoma city, OK | Hospital |
| Mercy Hospital Watonga, Inc | Watonga, OK | Hospital |
| Oklahoma Heart Hospital, Llc | Oklahoma city, OK | Hospital |
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Watonga Inc | 6305002759 | 6 |
| Entity Name | Mercy Hospital Healdton Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578710406 PECOS PAC ID: 3375610447 Enrollment ID: O20080916000470 |
| 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 | 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 | South Central Emergency Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20111111000638 |
| 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 A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497017529 PECOS PAC ID: 6305002759 Enrollment ID: O20130618000016 |
| Entity Name | Mercy Hospital Kingfisher, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083048417 PECOS PAC ID: 5395970180 Enrollment ID: O20131104000084 |
| 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 | Emergency Physicians of Mid-america PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
| 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 |
| Entity Name | Duncan Regional Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699318147 PECOS PAC ID: 5193613057 Enrollment ID: O20200930003440 |
| Entity Name | Mercy Hospital Tishomingo Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1932404431 PECOS PAC ID: 1557542032 Enrollment ID: O20210805002705 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Beaver, 430 N Monte Vista St, Ada, OK 74820-4610 Ph: (580) 421-1127 | Kevin Beaver, 430 N Monte Vista St, Ada, OK 74820-4610 Ph: (580) 421-1127 |
Travis L Teel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 |
Madison Morris, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 N Monte Vista St, Ada, OK 74820 Phone: 580-332-2323 |
Lauren Little Axe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-4552 |
Ms. Mika Strong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 Colony Dr, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159 |
Mr. Benny Ross Wofford, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 |
Mrs. Laurie Sue Paxson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 N Country Club Rd, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283 |
Jenny Simon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 N Country Club Rd, Ada, OK 74820 Phone: 580-436-3980 |