| Mr Wade Bittle, PA-C | |
|
1102 W Macarthur St, Shawnee, OK 74804-1743 | |
| (405) 273-2270 | |
| Not Available |
| Full Name | Mr Wade Bittle |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 1102 W Macarthur St, Shawnee, 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 |
|---|---|---|---|
| 1154508976 | NPI | - | NPPES |
| 200135230A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1681 (Oklahoma) | Primary |
| 207P00000X | Emergency Medicine | 1681 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 1681 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ou Health University Of Oklahoma Medical Center | Oklahoma city, OK | Hospital |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Mercy Hospital Tishomingo | Tishomingo, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ou Health Partners Inc | 5991105876 | 1167 |
| 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 | Community Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275593337 PECOS PAC ID: 2466494646 Enrollment ID: O20050527000098 |
| Entity Name | Tpg Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942260971 PECOS PAC ID: 8729990544 Enrollment ID: O20060209000149 |
| 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 Services of Oklahoma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Oklahoma Emergency Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114239795 PECOS PAC ID: 3678757010 Enrollment ID: O20110411000211 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Entity Name | Mercy Hospital Watonga Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497017529 PECOS PAC ID: 6305002759 Enrollment ID: O20130618000016 |
| Entity Name | Mercy Hospital Watonga Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1497017529 PECOS PAC ID: 6305002759 Enrollment ID: O20140110000184 |
| Entity Name | Mercy Hospital Kingfisher, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1285064618 PECOS PAC ID: 5395970180 Enrollment ID: O20140416000368 |
| Entity Name | Mercy Hospital Tishomingo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972809002 PECOS PAC ID: 1557542032 Enrollment ID: O20180507002045 |
| Entity Name | OU Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Entity Name | Mercy Hospital Tishomingo Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1932404431 PECOS PAC ID: 1557542032 Enrollment ID: O20210805002705 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wade Bittle, PA-C 1102 W Macarthur St, Shawnee, OK 74804-1743 Ph: Not Available | Mr Wade Bittle, PA-C 1102 W Macarthur St, Shawnee, OK 74804-1743 Ph: (405) 273-2270 |
Cary Douglas Nation, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Airport Dr, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 |
Laynie Dawn Shebester, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3794 |
Robert E Peevy, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 |
Jared Conatser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 E Macarthur St, Shawnee, OK 74804 Phone: 405-275-1001 |
Brandi Strayhorn, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3700 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-273-6383 Fax: 580-223-4761 |
Mrs. Jeanie Kay Johnson Simpson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 N Harrison St, Shawnee, OK 74804 Phone: 405-395-4441 Fax: 405-438-0540 |
Shannon Alin Plumb, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 |