Dr Jeremy Lewis Egan, DMD, MD is a
Oral & Maxillofacial Surgery based in Tulsa, Oklahoma. Dr Jeremy Lewis Egan is licensed to practice in Oklahoma (license number 234) and his current practice location is
11916 S Oxford Ave Ste 103, Tulsa, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(307) 257-3747.
NPI number for Dr Jeremy Lewis Egan is 1225561061 and his current mailing address is 11916 S Oxford Ave Ste 103, Tulsa, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225561061.
Healthcare Provider's Profile
| Full Name | Dr Jeremy Lewis Egan |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 11916 S Oxford Ave Ste 103, Tulsa, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225561061
- Provider Enumeration Date: 04/08/2017
- Last Update Date: 03/05/2024
Medical Identifiers
Medical identifiers for Dr Jeremy Lewis Egan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225561061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 7760 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 234 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeremy Lewis Egan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jeremy Lewis Egan, DMD, MD
11916 S Oxford Ave Ste 103,
Tulsa, OK 74137-7781
Ph: (918) 395-8305 | Dr Jeremy Lewis Egan, DMD, MD
11916 S Oxford Ave Ste 103,
Tulsa, OK 74137-7781
Ph: (307) 257-3747 |
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