Dr Lise D Brown, DO | |
800 W Boise Cir Ste 400, Broken Arrow, OK 74012-4974 | |
(918) 307-0215 | |
(918) 250-7669 |
Full Name | Dr Lise D Brown |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 21 Years |
Location | 800 W Boise Cir Ste 400, Broken Arrow, 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 |
---|---|---|---|
1306947163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | OS9720 (Florida) | Secondary |
207N00000X | Dermatology | 8224 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oklahoma Cancer Specialists And Research Institute, Llc | 0042513558 | 50 |
Entity Name | Oklahoma Cancer Specialists And Research Institute, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104291236 PECOS PAC ID: 0042513558 Enrollment ID: O20160115001766 |
Mailing Address | Practice Location Address |
---|---|
Dr Lise D Brown, DO 800 W Boise Cir Ste 400, Broken Arrow, OK 74012-4974 Ph: (918) 307-0215 | Dr Lise D Brown, DO 800 W Boise Cir Ste 400, Broken Arrow, OK 74012-4974 Ph: (918) 307-0215 |
Dr. Carlos Gomez-meade, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 W. Boise Circle, Suite 400, Broken Arrow, OK 74012 Phone: 918-307-0215 Fax: 918-250-7669 | |
Dr. Janelle Marshall Pavlis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 W Boise Cir Ste 400, Broken Arrow, OK 74012 Phone: 918-307-0215 Fax: 918-250-7669 | |
Dr. Mary Melissa Morgan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1621 S Eucalyptus Ave, Suite 202, Broken Arrow, OK 74012 Phone: 918-459-7546 Fax: 918-459-7575 |