Dr Gary W Breipohl, MD | |
9423 E 95th Ct, Tulsa, OK 74133-5805 | |
(918) 496-2400 | |
(405) 948-6507 |
Full Name | Dr Gary W Breipohl |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 9423 E 95th Ct, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083609861 | NPI | - | NPPES |
4854514 | Other | OK | CIGNA |
050072987 | Other | OK | RAILROAD MEDICARE |
100194990C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 16657 (Oklahoma) | Secondary |
207L00000X | Anesthesiology | 54361 (Arizona) | Primary |
Entity Name | Anesthesia Associates Of Tulsa Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174970669 PECOS PAC ID: 8527354166 Enrollment ID: O20160908001505 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary W Breipohl, MD Dept 1654, Tulsa, OK 74182-0001 Ph: (405) 947-8585 | Dr Gary W Breipohl, MD 9423 E 95th Ct, Tulsa, OK 74133-5805 Ph: (918) 496-2400 |
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 |