| Mr John Thomas Paul, PA | |
|
2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 | |
| (580) 223-5180 | |
| (580) 223-5184 |
| Full Name | Mr John Thomas Paul |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 2002 12th Ave Nw, Ardmore, 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 |
|---|---|---|---|
| 1760561351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2395 (Oklahoma) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 2395 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ideal Home Care, L.p. | Ardmore, OK | Home health agency |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Mercy Health Love County | Marietta, OK | Hospital |
| Mercy Hospital Healdton, Inc. | Healdton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 645 |
| Entity Name | Southern Oklahoma Multiple Services Inc P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656546 PECOS PAC ID: 7214955475 Enrollment ID: O20051105000397 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Thomas Paul, PA 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 Ph: (580) 223-5180 | Mr John Thomas Paul, PA 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 Ph: (580) 223-5180 |
Rhea Michelle Buycks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 317 N Rockford Rd, Ardmore, OK 73401 Phone: 580-319-4242 Fax: 580-798-4612 |
Shawn Fadum, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1104 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 |
Roldon Sanchez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite B, Ardmore, OK 73401 Phone: 580-223-4795 Fax: 580-223-5184 |
Andrea Ann Bean, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste G, Ardmore, OK 73401 Phone: 580-490-9411 Fax: 580-490-9415 |
Robert Dean Hanna, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1505 N Commerce St, Ste 203, Ardmore, OK 73401 Phone: 580-223-6555 Fax: 580-226-4617 |
Bradley Taylor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 808 Carter St Se, Ardmore, OK 73401 Phone: 580-504-9468 |
Nathan Daniel Murray, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6658 Fax: 580-220-6673 |