| Jeremy M Mason, DPM | |
|
10229 E 96th St N Suite 101, Owasso, OK 74055 | |
| (918) 272-8920 | |
| (918) 272-8922 |
| Full Name | Jeremy M Mason |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 21 Years |
| Location | 10229 E 96th St N Suite 101, Owasso, 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 |
|---|---|---|---|
| 1710154471 | NPI | - | NPPES |
| 00256 | Other | OK | OKLAHOMA LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00256 (Oklahoma) | Secondary |
| 213E00000X | Podiatrist | 256 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro Tulsa Foot And Ankle Specialist Pllc | 1759293046 | 10 |
| Oklahoma Mobile Podiatry Services Llc | 4385086206 | 2 |
| Provider Name | Metro Tulsa Foot & Ankle Specialist Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477588945 PECOS PAC ID: 1759293046 Enrollment ID: O20031104000660 |
| Provider Name | Oklahoma Mobile Podiatry Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699339804 PECOS PAC ID: 4385086206 Enrollment ID: O20240523002428 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy M Mason, DPM 701 W. Elgin St, Broken Arrow, OK 74012 Ph: (918) 455-2001 | Jeremy M Mason, DPM 10229 E 96th St N Suite 101, Owasso, OK 74055 Ph: (918) 272-8920 |
Timothy J Siegfried, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10229 E 96th St N Suite 100, Owasso, OK 74055 Phone: 918-272-8920 Fax: 918-272-8922 | |
Metro Tulsa Foot & Ankle Specialists Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 10229 E 96th St N, Suite 100, Owasso, OK 74055 Phone: 918-272-8920 Fax: 918-272-8922 |