| Mr Dennis Dodd, CRNA | |
|
5602 Sw Lee Blvd, Lawton, OK 73505-9635 | |
| (580) 531-4727 | |
| Not Available |
| Full Name | Mr Dennis Dodd |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5602 Sw Lee Blvd, Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326044603 | NPI | - | NPPES |
| 100789080A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0040475 (Oklahoma) | Primary |
| Entity Name | Southwestern Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083640601 PECOS PAC ID: 6305937772 Enrollment ID: O20070814000680 |
| Entity Name | Ias Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174394365 PECOS PAC ID: 9537505532 Enrollment ID: O20240313001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dennis Dodd, CRNA Po Box 571, Altus, OK 73522-0571 Ph: (580) 481-4815 | Mr Dennis Dodd, CRNA 5602 Sw Lee Blvd, Lawton, OK 73505-9635 Ph: (580) 531-4727 |
Manju Ani Thankachan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Christine Diane Harbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-9984 | |
John D Fitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-591-1910 Fax: 580-536-2067 | |
Dai An Le, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Virginia J Shaw-scherler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Beth A Allgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Kathleen Marie Feeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-3277 |