Dr Justin Thankachan, MD | |
1120 S Utica Ave, Tulsa, OK 74104-4090 | |
(918) 579-1000 | |
Not Available |
Full Name | Dr Justin Thankachan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 1120 S Utica Ave, 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 |
---|---|---|---|
1851433221 | NPI | - | NPPES |
200201520A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 24623 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hillcrest Medical Center | Tulsa, OK | Hospital |
Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
Creek Nation Community Hospital | Okemah, OK | Hospital |
Muscogee (creek) Nation Medical Center | Okmulgee, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Creek Nation Hospital And Clinics | 5698786226 | 277 |
Ahs Oklahoma Physician Group Llc | 9436122496 | 302 |
Creek Nation Hospital And Clinics | 5698786226 | 277 |
Cherokee Nation | 5799698742 | 361 |
Entity Name | St John Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
Entity Name | Mccurtain Memorial Medical Management, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629020177 PECOS PAC ID: 8022926252 Enrollment ID: O20040626000315 |
Entity Name | Ahs Oklahoma Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
Entity Name | Creek Nation Hospital & Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
Entity Name | Healthfirst Physicians Management Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891962460 PECOS PAC ID: 4183674500 Enrollment ID: O20081113000308 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Thankachan, MD 6224 E 89th St, Tulsa, OK 74137-3127 Ph: (918) 938-2694 | Dr Justin Thankachan, MD 1120 S Utica Ave, Tulsa, OK 74104-4090 Ph: (918) 579-1000 |
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 |