| Mr Benny Ross Wofford, PA | |
|
1921 Stonecipher Blvd, Ada, OK 74820-3439 | |
| (580) 436-3980 | |
| Not Available |
| Full Name | Mr Benny Ross Wofford |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1921 Stonecipher Blvd, Ada, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104871995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1031 (Oklahoma) | Primary |
| Entity Name | Cah Acquisition Company 7 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851537096 PECOS PAC ID: 1658435714 Enrollment ID: O20090304000580 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benny Ross Wofford, PA 1921 Stonecipher Blvd, Ada, OK 74820-3439 Ph: (580) 436-3980 | Mr Benny Ross Wofford, PA 1921 Stonecipher Blvd, Ada, OK 74820-3439 Ph: (580) 436-3980 |
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 |
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 |
Shante Marie Butts, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 |