Dr Kellie Dawn Vantuyl, DO | |
30011 E State Highway 51, Coweta, OK 74429-7681 | |
(918) 486-2161 | |
(918) 486-3135 |
Full Name | Dr Kellie Dawn Vantuyl |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 14 Years |
Location | 30011 E State Highway 51, Coweta, 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 |
---|---|---|---|
1821376138 | NPI | - | NPPES |
200401090A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5137 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Home Health | Tulsa, OK | Home health agency |
Saint Francis Hospital South, Llc | Tulsa, OK | Hospital |
Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Warren Clinic Inc | 8820900293 | 607 |
Entity Name | Warren Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
Mailing Address | Practice Location Address |
---|---|
Dr Kellie Dawn Vantuyl, DO 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3347 Ph: () - | Dr Kellie Dawn Vantuyl, DO 30011 E State Highway 51, Coweta, OK 74429-7681 Ph: (918) 486-2161 |
Bradley Todd Anderson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28622 E 141st St S, Coweta, OK 74429 Phone: 918-486-7425 Fax: 918-279-6884 | |
Dr. Lawrence E Vark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31870 E. Hwy 51, Coweta, OK 74429 Phone: 918-279-3200 | |
Dr. Bret A Hubbard, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 S Broadway, Coweta, OK 74429 Phone: 918-486-5564 Fax: 918-486-3284 | |
Dr. Jack Stephen Aldridge, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 30011 E State Highway 51, Coweta, OK 74429 Phone: 918-486-2161 Fax: 918-486-3135 | |
Mrs. Kathleen Mary Mcgovern, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30011 E State Highway 51, Coweta, OK 74429 Phone: 918-486-2161 Fax: 918-486-3135 | |
Laren W Hightower, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 28622 E 141st St S, Coweta, OK 74429 Phone: 918-486-7425 Fax: 918-279-6884 | |
Ronnie L Carr, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30011 E State Highway 51, Coweta, OK 74429 Phone: 918-486-2161 Fax: 918-486-3135 |