Dr Lawrence Clay Brotherton Iii, MD | |
1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 | |
(918) 301-2505 | |
(918) 744-3633 |
Full Name | Dr Lawrence Clay Brotherton Iii |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 25 Years |
Location | 1725 E 19th 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144218322 | NPI | - | NPPES |
730768966 | Other | OK | MEDICARE GROUP PIN |
200060600A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 24398 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St John Owasso | Owasso, OK | Hospital |
St John Medical Center, Inc | Tulsa, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St John Physicians Inc | 2567366495 | 221 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence Clay Brotherton Iii, MD 1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 Ph: (918) 301-2505 | Dr Lawrence Clay Brotherton Iii, MD 1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 Ph: (918) 301-2505 |
Alex Bryan Olsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1805 Fax: 918-494-4573 | |
Shelley Capehart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 900, Tulsa, OK 74136 Phone: 918-481-4800 Fax: 918-481-4826 | |
Charles Anthony Howard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-744-3523 Fax: 918-744-3463 | |
Wyatt Ho, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 101, Tulsa, OK 74136 Phone: 918-502-7175 Fax: 918-502-7180 | |
Peter Richard Nelson, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104 Phone: 918-619-4400 Fax: 918-634-7560 | |
Scott A Newbrough, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 Phone: 918-403-7070 Fax: 918-403-6327 | |
Dr. Susan A Rose, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1725 E 19th St, Suite 800, Tulsa, OK 74104 Phone: 918-301-2505 Fax: 918-301-3633 |