Dr Randy Blake Patterson, MD | |
1831 E 71st St, Tulsa, OK 74136-3922 | |
(877) 866-7123 | |
Not Available |
Full Name | Dr Randy Blake Patterson |
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Gender | Male |
Speciality | General Practice |
Location | 1831 E 71st St, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194109066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 31329 (Oklahoma) | Secondary |
208D00000X | General Practice | 31329 (Oklahoma) | Primary |
Entity Name | Dynamic Wound Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598541427 PECOS PAC ID: 0143674465 Enrollment ID: O20230920002667 |
Mailing Address | Practice Location Address |
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Dr Randy Blake Patterson, MD 1112 Huntington Ave, Nichols Hills, OK 73116-6213 Ph: (405) 473-0210 | Dr Randy Blake Patterson, MD 1831 E 71st St, Tulsa, OK 74136-3922 Ph: (877) 866-7123 |
Dr. Terrence Lee Lakin, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 7134 S Yale Ave Ste 430, Tulsa, OK 74136 Phone: 918-600-2243 Fax: 918-425-8800 | |
Santosh Kalan, General Practice Medicare: Not Enrolled in Medicare Practice Location: 14002 E 21st St Ste 1130, Tulsa, OK 74134 Phone: 918-439-1500 Fax: 918-439-1199 | |
Eric Stockwell, MD General Practice Medicare: Medicare Enrolled Practice Location: 802 S Jackson Ave, Tulsa, OK 74127 Phone: 918-631-8202 | |
Dr. Andra Dale Nuzum-keim, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552 | |
Fernando Magana Herrera, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 1111 W 17th St, Tulsa, OK 74107 Phone: 918-582-1972 | |
Stanley R Stacy, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 10106 S Sheridan Rd, Tulsa, OK 74133 Phone: 918-619-9400 | |
Dr. Jennifer Lynn Seely, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2409 E 28th St, Tulsa, OK 74114 Phone: 918-747-2040 |