Elizabeth Burgess, | |
1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | |
(918) 619-4400 | |
(918) 634-7560 |
Full Name | Elizabeth Burgess |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1919 S Wheeling Ave Ste 600, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881091833 | NPI | - | NPPES |
200597370A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD2033 (Oklahoma) | Primary |
Provider Name | Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154385730 PECOS PAC ID: 5395645329 Enrollment ID: O20040113000654 |
Mailing Address | Practice Location Address |
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Elizabeth Burgess, Po Box 268838, Oklahoma City, OK 73126-8838 Ph: (918) 619-4400 | Elizabeth Burgess, 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 Ph: (918) 619-4400 |
Mrs. Deanna Gum, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Suite 800, Tulsa, OK 74103 Phone: 918-585-3045 Fax: 918-585-3047 | |
Brittany Bennett, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-1000 | |
Anna Christine Sobol, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 550 S Peoria Ave, Tulsa, OK 74120 Phone: 918-382-2221 Fax: 918-382-1285 | |
Mrs. Kristin Lynne Gibson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-7201 | |
Christie Anne Huffman, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2815 S Sheridan Rd, Tulsa, OK 74129 Phone: 918-619-4300 Fax: 918-619-4322 | |
Mrs. Melissa L Davis-whitenack, M.S., R.D.,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5870 S. 76th East Avenue, Tulsa, OK 74145 Phone: 918-622-9099 |