| Michael Shane Richardson, PA | |
|
7521 Se 15th St, Midwest City, OK 73110-5425 | |
| (405) 453-8004 | |
| (405) 561-4857 |
| Full Name | Michael Shane Richardson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 7521 Se 15th St, Midwest 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 |
|---|---|---|---|
| 1225179849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1615 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Integris Southwest Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Street Health Physicians Group Of Oklahoma, Llc | 1355746769 | 23 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Shane Richardson, PA Po Box 740020, Atlanta, GA 30374-0020 Ph: (312) 733-9730 | Michael Shane Richardson, PA 7521 Se 15th St, Midwest City, OK 73110-5425 Ph: (405) 453-8004 |
Julie Anne Meritt, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1380 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-737-0881 Fax: 405-737-0899 | |
Kelle R Christianson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9917 Se 15th St, Midwest City, OK 73130 Phone: 405-622-2070 | |
Mr. Chad N Hudson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 | |
Jayci L Purvis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9917 Se 15th St, Midwest City, OK 73130 Phone: 405-622-2070 | |
Morgan Bell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 | |
Caroline Sitton, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 | |
Jessica D. Foster, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1636 Midtown Pl, Midwest City, OK 73130 Phone: 405-869-7700 Fax: 405-869-7724 |