Diana L Defelice, DO | |
13616 E 103rd St N, Ste A, Owasso, OK 74055-4586 | |
(918) 274-8555 | |
(918) 274-8556 |
Full Name | Diana L Defelice |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 13616 E 103rd St N, Owasso, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649262270 | NPI | - | NPPES |
100768880I | Other | OK | SONICARE MEDICAID |
100088200B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2160 (Oklahoma) | Primary |
Entity Name | St John Urgent Care Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003918830 PECOS PAC ID: 5890898084 Enrollment ID: O20070308000190 |
Mailing Address | Practice Location Address |
---|---|
Diana L Defelice, DO 1717s Utica Ave A, Tulsa, OK 74104-5346 Ph: (918) 748-1300 | Diana L Defelice, DO 13616 E 103rd St N, Ste A, Owasso, OK 74055-4586 Ph: (918) 274-8555 |
Bryan Vannuel Marsh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13616 E 103rd Street N, Suite A, Owasso, OK 74055 Phone: 918-274-8555 Fax: 918-274-8556 | |
Dr. David Lee Smith, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 13600 E 86th St N, Ste 100, Owasso, OK 74055 Phone: 918-272-9313 Fax: 918-403-6311 | |
Anne Marjorie Jones, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12455 E 100th St N Ste 220, Owasso, OK 74055 Phone: 918-274-5510 | |
Sharon Sodano Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13600 E 86th St N, Owasso, OK 74055 Phone: 918-272-2247 | |
Dr. Jack Robin Snedden Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10502 North 110th East Avenue, Owasso, OK 74055 Phone: 918-376-8590 Fax: 918-376-8549 | |
Dr. Keith Stacy Patterson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10512 North 110th East Avenue, Owasso, OK 74055 Phone: 918-376-8900 Fax: 918-272-7475 | |
Chelsea Leigh Mcdonald, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 8551 N 125th East Ave Ste 175, Owasso, OK 74055 Phone: 918-265-3797 |