| Mr Bret R Owen, PA | |
|
2825 Parklawn Dr, Midwest City, OK 73110-4201 | |
| (405) 610-4411 | |
| Not Available |
| Full Name | Mr Bret R Owen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2825 Parklawn Dr, Midwest City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821046392 | NPI | - | NPPES |
| 100113210A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA819 (Oklahoma) | 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 |
| 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 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 | Williams Medical Group Practice, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
| Entity Name | Absentee Shawnee Tribal Health Authority, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942253521 PECOS PAC ID: 5799171088 Enrollment ID: O20220414000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bret R Owen, PA 16620 Cobblestone Cir, Choctaw, OK 73020-6953 Ph: Not Available | Mr Bret R Owen, PA 2825 Parklawn Dr, Midwest City, OK 73110-4201 Ph: (405) 610-4411 |
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 |
Madison Lynn Sparks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8900 Se 15th St, Midwest City, OK 73110 Phone: 405-737-3278 |
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 |