Dr Jo Elle Grace Peterson, MD | |
940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104-5020 | |
(713) 206-7708 | |
Not Available |
Full Name | Dr Jo Elle Grace Peterson |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 17 Years |
Location | 940 Stanton L Young Blvd # 451, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881830438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZN0500X | Pathology - Neuropathology | 30326 (Oklahoma) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | 30326 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
O U Medical Center | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ou Health Partners Inc | 5991105876 | 795 |
Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
Entity Name | Ou Health Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
Mailing Address | Practice Location Address |
---|---|
Dr Jo Elle Grace Peterson, MD 1122 Ne 13th St # Ori236, Oklahoma City, OK 73117-1039 Ph: () - | Dr Jo Elle Grace Peterson, MD 940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104-5020 Ph: (713) 206-7708 |
Dr. Lynn Leroy Myers, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 9417 Regal Lane, Oklahoma City, OK 73162 Phone: 405-721-1214 | |
Alexis A Harris Snead, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 225 Ne 97th St Ste 600, Oklahoma City, OK 73114 Phone: 405-842-2061 | |
Dr. Shaima Elgenaid, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104 Phone: 405-271-2451 | |
Damion L Kistler, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-7041 | |
Michael Francis Goldbeck, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 940 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-2451 | |
Marlene Magrini Greyson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-7041 | |
Brian Michael Besch, MD Pathology Medicare: Medicare Enrolled Practice Location: 940 Stanton L Young Blvd, Bmsb 451, Oklahoma City, OK 73104 Phone: 405-271-2451 |