Dr Blake Justin Lesselroth, MD, MBI in Tulsa, OK

Dr Blake Justin Lesselroth, MD, MBI is a medicare enrolled "Internal Medicine" physician in Tulsa, Oklahoma. He went to Tulane University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa and his current practice location is 4502 E 41st St, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 660-3596.

Dr Blake Justin Lesselroth is licensed to practice in Oklahoma (license number 34337) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801997390.

Contact Information

	Dr Blake Justin Lesselroth, MD, MBI
	4502 E 41st St, Tulsa, OK 74135-2536
	(918) 660-3596
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Blake Justin Lesselroth
Gender	Male
Speciality	Internal Medicine
Experience	24 Years
Location	4502 E 41st St, 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.

Medical Education and Training:

Dr Blake Justin Lesselroth attended and graduated from Tulane University School Of Medicine in 2000

NPI Data:

NPI Number: 1801997390
Provider Enumeration Date: 09/26/2006
Last Update Date: 12/14/2018

Medicare PECOS Information:

PECOS PAC ID: 0648441139
Enrollment ID: I20190204000545

Medical Identifiers

Medical identifiers for Dr Blake Justin Lesselroth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801997390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD24554 (Oregon)	Secondary
207R00000X	Internal Medicine	34337 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St John Medical Center, Inc	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	5395645329	90

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Blake Justin Lesselroth allows following entities to bill medicare on his behalf.

Entity Name	Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154385730 PECOS PAC ID: 5395645329 Enrollment ID: O20040113000654

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Blake Justin Lesselroth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Blake Justin Lesselroth, MD, MBI 1414 E 39th St Apt 2-349, Tulsa, OK 74105-3343 Ph: (971) 303-3627	Dr Blake Justin Lesselroth, MD, MBI 4502 E 41st St, Tulsa, OK 74135-2536 Ph: (918) 660-3596

Reviews and Comments

Internal Medicine Doctors in Tulsa, OK

Sarah Anne Shaw-dressler, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578
Julia Margaret Kwon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539
Peter Madden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400
Thao Tran, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400
Prasoonkumar Yendluri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-502-1900 Fax: 918-494-6303
Robert Peter Aran, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365
Robert Dean Okada, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455

Dr Blake Justin Lesselroth, MD, MBI - Medicare Internal Medicine in Tulsa, OK