Dr Adam Joseph Wallace, MD | |
3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | |
(918) 255-7246 | |
(918) 255-7000 |
Full Name | Dr Adam Joseph Wallace |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 3336 E 32nd St Ste 220, 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 |
---|---|---|---|
1518129733 | NPI | - | NPPES |
200222690A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 26497 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
Mcalester Regional Health Center | Mcalester, OK | Hospital |
Bailey Medical Center, Llc | Owasso, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Spine And Pain Center Llc | 6002152220 | 4 |
Entity Name | Pain Management Of Tulsa P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932240041 PECOS PAC ID: 0244335131 Enrollment ID: O20070423000135 |
Entity Name | The Spine And Pain Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689144602 PECOS PAC ID: 6002152220 Enrollment ID: O20190109001617 |
Entity Name | Revelation Medical Of Tulsa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366194110 PECOS PAC ID: 5294122933 Enrollment ID: O20220427000588 |
Mailing Address | Practice Location Address |
---|---|
Dr Adam Joseph Wallace, MD 6802 S Olympia Ave, Suite 100, Tulsa, OK 74132-1823 Ph: (918) 447-9300 | Dr Adam Joseph Wallace, MD 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 Ph: (918) 255-7246 |
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 |