| Mrs Chauntel Joyce Ditommaso, PA | |
|
1201 E Jackson St, Hugo, OK 74743-4229 | |
| (580) 326-6423 | |
| Not Available |
| Full Name | Mrs Chauntel Joyce Ditommaso |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1201 E Jackson St, Hugo, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184098246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Choctaw Memorial Hospital | Hugo, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rowland Flatt Clinic | 9830186824 | 11 |
| Entity Name | Choctaw County City of Hugo Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881689289 PECOS PAC ID: 8022921519 Enrollment ID: O20031111000136 |
| Entity Name | Rowland Flatt Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013908441 PECOS PAC ID: 9830186824 Enrollment ID: O20040430000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Chauntel Joyce Ditommaso, PA 1060 Braydan, Reno, TX 75462-5902 Ph: (405) 795-4622 | Mrs Chauntel Joyce Ditommaso, PA 1201 E Jackson St, Hugo, OK 74743-4229 Ph: (580) 326-6423 |
Cassidy West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 N M St, Hugo, OK 74743 Phone: 580-325-7561 |
Larry Leon Burns, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 E Jackson St, Hugo, OK 74743 Phone: 580-326-6423 Fax: 405-930-6660 |
Larry Leon Burns Jr., PA - C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 E Jackson St, Hugo, OK 74743 Phone: 580-326-6423 Fax: 580-317-9233 |
Ms. Bambi A Clay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3004 E Jackson St, Hugo, OK 74743 Phone: 580-326-9555 Fax: 580-286-6699 |