Bryan P Shelton, MD | |
12451 E 100th St N, Owasso, OK 74055-4600 | |
(918) 274-5000 | |
Not Available |
Full Name | Bryan P Shelton |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 12451 E 100th St N, Owasso, 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 |
---|---|---|---|
1932219839 | NPI | - | NPPES |
100090740A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 17302 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St John Medical Center, Inc | Tulsa, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Oklahoma, Pllc | 1254519275 | 80 |
St. John Anesthesia Services, Inc. | 4789607938 | 44 |
Entity Name | St. John Anesthesia Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
Mailing Address | Practice Location Address |
---|---|
Bryan P Shelton, MD 12451 E 100th St N, Owasso, OK 74055-0001 Ph: (918) 832-6000 | Bryan P Shelton, MD 12451 E 100th St N, Owasso, OK 74055-4600 Ph: (918) 274-5000 |
Dr. Frank A Desandre Jr., M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12451 E 100th St N, Owasso, OK 74055 Phone: 918-274-5000 Fax: 918-274-5117 | |
Ronald Steve Stevens, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10502 N 110th East Ave, Owasso, OK 74055 Phone: 918-728-6145 |