| Mr Mark Lee Wells, PA | |
|
411 W Grand Ave, Chickasha, OK 73018-5862 | |
| (405) 224-0053 | |
| Not Available |
| Full Name | Mr Mark Lee Wells |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 411 W Grand Ave, Chickasha, 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 |
|---|---|---|---|
| 1821060849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1099 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Resource Management Llc | 4082753918 | 53 |
| Entity Name | Medical Resource Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Lee Wells, PA 411 W Grand Ave, Chickasha, OK 73018-5862 Ph: (405) 224-0053 | Mr Mark Lee Wells, PA 411 W Grand Ave, Chickasha, OK 73018-5862 Ph: (405) 224-0053 |
Jacob Duane Boyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2116 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2801 |
Mrs. Christal Lynne Lynch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-5359 |
Andrea Rae Roberts, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-574-1406 |
Diadra Lorseh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2166 |
Ms. Devon Jessica Muncy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2365 |
Mary A. Ross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2244 |
William Marshall Ohl, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2808 |