| Mr Mitchell Williams, PA-C | |
|
2109 S Santa Fe Ave, Moore, OK 73160-2807 | |
| (405) 213-0256 | |
| Not Available |
| Full Name | Mr Mitchell Williams |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 2109 S Santa Fe Ave, Moore, 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 |
|---|---|---|---|
| 1295241339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2845 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Medical Center, Llc | Edmond, OK | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Oklahoma Center For Orthopaedic & Multi-sp | Oklahoma city, OK | Hospital |
| Onecore Health | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oklahoma City Orthopedics And Sports Medicine Pllc | 0345209326 | 3 |
| Entity Name | Oklahoma City Orthopedics and Sports Medicine PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073675849 PECOS PAC ID: 0345209326 Enrollment ID: O20041006000062 |
| 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 | 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 Mitchell Williams, PA-C 11507 Keystone Cir, Oklahoma City, OK 73114-7649 Ph: Not Available | Mr Mitchell Williams, PA-C 2109 S Santa Fe Ave, Moore, OK 73160-2807 Ph: (405) 213-0256 |
Leah Sitton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 551 Se 4th St, Moore, OK 73160 Phone: 405-703-9321 |
Mrs. Jessica Elise Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2109 S Santa Fe Ave, Moore, OK 73160 Phone: 405-213-0256 |
Mr. Tim M Laing, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 S Telephone Rd, Moore, OK 73160 Phone: 405-793-9355 |
Kenneth Demasters, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 507 Ne 12th St, Moore, OK 73160 Phone: 405-703-4202 |
Miss Kaitlin Elizabeth Wood, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2900 S Telephone Rd Ste 250, Moore, OK 73160 Phone: 405-237-7500 Fax: 405-237-7512 |
Makenzi Lane Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-378-5491 Fax: 405-378-5492 |
Ms. Lisa Danette West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 S Telephone Rd, Moore, OK 73160 Phone: 405-793-9355 Fax: 405-793-1621 |