Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

DEWBERRY, GLENN PASCHAL JR       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: MERCY CLINIC
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY OK 73008-5246

Address last updated on 5/12/2017
Phone #: (405) 789-4150
Fax #: (405) 787-7920
County: OKLAHOMA
License: 11240
Dated: 6/30/1977
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1976
CME Year: 2022
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
HealthChoice
Multiplan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Physicians Direct Network
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY CLINIC
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY OK 73008-5246

Phone #: (405) 789-4150
Fax #: (405) 787-7920
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

Return to Search Licensees page