Brent Henderson, DO | |
8801 S 101st East Ave, Tulsa, OK 74133-5716 | |
(918) 294-4915 | |
(918) 294-4947 |
Full Name | Brent Henderson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 23 Years |
Location | 8801 S 101st East Ave, Tulsa, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649217746 | NPI | - | NPPES |
200059770A | Medicaid | OK | |
900522349 | Other | OK | MEDICARE GROUP PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 3954 (Oklahoma) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 3954 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sequoyah County-city Of Sallisaw Hospital Authorit | Sallisaw, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pmo Medical Pllc | 1153603832 | 10 |
Entity Name | Utb Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407150709 PECOS PAC ID: 0547448524 Enrollment ID: O20110621000633 |
Entity Name | Precision Pain Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841692274 PECOS PAC ID: 8628390515 Enrollment ID: O20141203002266 |
Entity Name | Pmo Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780054627 PECOS PAC ID: 1153603832 Enrollment ID: O20170113001031 |
Mailing Address | Practice Location Address |
---|---|
Brent Henderson, DO 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 Ph: (918) 794-6008 | Brent Henderson, DO 8801 S 101st East Ave, Tulsa, OK 74133-5716 Ph: (918) 294-4915 |
David Do, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2811 E 15th St Ste 102, Tulsa, OK 74104 Phone: 918-935-3240 Fax: 918-935-3241 | |
Reginald Gene Scott, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 | |
Kimberlie K Dullye, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 744 W 9th St, Tulsa, OK 74127 Phone: 918-587-2561 | |
Michelle Pieratt, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 361-949-4976 | |
Judy A Distefano, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9423 E 95th Ct, Tulsa, OK 74133 Phone: 918-496-2400 Fax: 918-496-2436 | |
Kenneth Calrisian Reed, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9320 S Mingo Rd, Tulsa, OK 74133 Phone: 918-901-9701 Fax: 918-901-9702 | |
Dr. Jonathan D Friend, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 S Garnett Rd, Ste 919, Tulsa, OK 74146 Phone: 918-728-6194 Fax: 918-664-2521 |