| Ada Medical Group Pllc | |
|
1601 N Broadway Ave Ada OK 74820-1403 | |
| (405) 594-0191 | |
| Not Available |
| Full Name | Ada Medical Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1601 N Broadway Ave, Ada, Oklahoma |
| Authorized Official Name and Position | Patrick O'neil (OWNER) |
| Authorized Official Contact | 5803328608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ada Medical Group Pllc 1601 N Broadway Ave Ada OK 74820-1403 Ph: (055) 940-1914 | Ada Medical Group Pllc 1601 N Broadway Ave Ada OK 74820-1403 Ph: (405) 594-0191 |
| NPI Number | 1447796925 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 12/15/2022 |
| Medicare PECOS PAC ID | 6305123514 |
|---|---|
| Medicare Enrollment ID | O20170717001616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447796925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Patrick J Oneill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255353611 PECOS PAC ID: 0547203028 Enrollment ID: I20050803000398 |
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