| Doney Medical, Inc. | |
|
310 2nd Ave Sw Suite 201 Miami OK 74354-6702 | |
| (918) 542-8477 | |
| (918) 542-6422 |
| Full Name | Doney Medical, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 2nd Ave Sw, Miami, Oklahoma |
| Authorized Official Name and Position | Jack R. Doney (PHYSICIAN) |
| Authorized Official Contact | 9185428477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doney Medical, Inc. 310 2nd Ave Sw Suite 201 Miami OK 74354-6702 Ph: (918) 542-8477 | Doney Medical, Inc. 310 2nd Ave Sw Suite 201 Miami OK 74354-6702 Ph: (918) 542-8477 |
| NPI Number | 1104900554 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 04/11/2023 |
| Medicare PECOS PAC ID | 3173571668 |
|---|---|
| Medicare Enrollment ID | O20050111000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104900554 | NPI | - | NPPES |
| 100209450A | Medicaid | OK | |
| 100735640A | Medicaid | OK |
| Provider Name | Jack R Doney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518927664 PECOS PAC ID: 6800795485 Enrollment ID: I20040102000339 |
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