THOMPSON-MATHEW, MIRIAM ELAINE - Licensee Information

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Last Update: Monday, May 6, 2024 4:03 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT

THOMPSON-MATHEW, MIRIAM ELAINE

Practice Address:	201 S. SARA RD. MUSTANG OK 73064 Address last updated on 4/19/2022
Phone #:	(405) 578-3250
Fax #:	(405) 578-3299
County:	CANADIAN
License:	24609
Dated:	1/19/2007
Expires:	1/1/2025
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	5 / 2005
CME Year:	2025

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:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO BCE Emergis Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO CCN Managed Care Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO Coventry Health Care National Network Evolutions Healthcare First Health Global Health HMO Great West Healthcare Health Smart Preferred Care (HSPC) HealthChoice Heartland Health Plan of Oklahoma Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO National Preferred Provider Network (NPPN) One Health Plan 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 Preferred Health Network-ppoNEXT Prime Advantage Health Plan Private Healthcare Systems (PHCS) Pronet Prudential Health Care Plan, Inc Railroad Medicare Secure Horizons HMO SoonerCare HMO SoonerCare PPO Sparks Premiercare Tricare for Life Tricare Standard UniCare Health Plans of Oklahoma United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS USA Managed Care Welcor/Sooner Worknet of Oklahoma
Hospital Privileges:	St. Anthony Hospital (SSM Health) Oklahoma City, OK

Locations:	Hours:	Languages:
201 S. SARA RD. MUSTANG OK 73064 Phone #: (405) 578-3250 Fax #: (405) 578-3299	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
DENISE RENEE BRANSON	PA	2433