| Richard D Hanes, PA | |
|
1000 Kingfisher Hospital Drive, Kingfisher, OK 73150-0059 | |
| (405) 375-7847 | |
| Not Available |
| Full Name | Richard D Hanes |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1000 Kingfisher Hospital Drive, Kingfisher, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235129099 | NPI | - | NPPES |
| 200034610A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1346 (Oklahoma) | Primary |
| Entity Name | Rural Wellness Fairfax Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295362564 PECOS PAC ID: 3678904752 Enrollment ID: O20200506001548 |
| Entity Name | Rural Wellness Anadarko Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538825120 PECOS PAC ID: 3274926100 Enrollment ID: O20220216002693 |
| Entity Name | Rural Wellness Anadarko Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1023774601 PECOS PAC ID: 3274926100 Enrollment ID: O20220318000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D Hanes, PA 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150-0059 Ph: (405) 375-7847 | Richard D Hanes, PA 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150-0059 Ph: (405) 375-7847 |
James Cameron Hogan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 West Bowman, Kingfisher, OK 73750 Phone: 405-375-7935 Fax: 405-948-6507 |
Kadriye Ann Landis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Hospital Dr, Kingfisher, OK 73750 Phone: 405-375-3141 |
Bridget A. Keast, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1002 Hospital Drive, Kingfisher, OK 73750 Phone: 405-375-6355 Fax: 405-375-6374 |