| Michael Klose, PA-C | |
|
921 Ne 13th St, Oklahoma City, OK 73104-5007 | |
| (405) 456-1000 | |
| Not Available |
| Full Name | Michael Klose |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 921 Ne 13th St, Oklahoma City, 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 |
|---|---|---|---|
| 1053717975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Entity Name | Mercy Oklahoma Ambulatory Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922509173 PECOS PAC ID: 9830447036 Enrollment ID: O20180803002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Klose, PA-C 921 Ne 13th St, Oklahoma City, OK 73104-5007 Ph: (405) 456-1000 | Michael Klose, PA-C 921 Ne 13th St, Oklahoma City, OK 73104-5007 Ph: (405) 456-1000 |
Mr. Kevin J Maxwell, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103 Phone: 405-600-6730 Fax: 405-600-6750 |
Nicole Lee, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900 |
Angie Rachel Thomas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-514-5640 |
Stephanie Ann Stephens, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14100 Parkway Commons Dr Ste 201, Oklahoma City, OK 73134 Phone: 405-749-2765 Fax: 405-749-6209 |
Brynn Perkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 535 Nw 9th St Ste 235, Oklahoma City, OK 73102 Phone: 405-772-4338 Fax: 405-772-4339 |
Mrs. Bailey Reann Willis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 825 Ne 10th St # 2e, Oklahoma City, OK 73104 Phone: 405-271-7001 |
Marcia R Palmer, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 405-713-4740 Fax: 405-713-2974 |