Dr Rebecca A Bloom, MD | |
1145 S Utica Ave, Ste 110, Tulsa, OK 74104-4012 | |
(918) 579-6863 | |
(918) 579-6869 |
Full Name | Dr Rebecca A Bloom |
---|---|
Gender | Female |
Speciality | Emergency Medicine - Undersea And Hyperbaric Medicine |
Location | 1145 S Utica Ave, 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 |
---|---|---|---|
1841207149 | NPI | - | NPPES |
243419306 | Medicaid | MO | |
200080180A | Other | OK | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2004015684 (Missouri) | Secondary |
207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | 26032 (Oklahoma) | Primary |
Entity Name | St John Physicians Inc |
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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 |
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Dr Rebecca A Bloom, MD 1145 S Utica Ave, Ste 110, Tulsa, OK 74104-4013 Ph: (918) 579-6863 | Dr Rebecca A Bloom, MD 1145 S Utica Ave, Ste 110, Tulsa, OK 74104-4012 Ph: (918) 579-6863 |
Hoi Y Chan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-6161 | |
Dr. Cory Brit Kebert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1717 S Utica Ave Ste A, Tulsa, OK 74104 Phone: 981-748-7557 Fax: 918-748-7514 | |
Mr. Michael Daniel Figueiredo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 | |
Dr. Julie Christa Dodson, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-1000 | |
Steven L. Nussbaum, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9716 Riverside Parkway, Suite 100, Tulsa, OK 74137 Phone: 918-299-4333 Fax: 918-299-4330 | |
Dr. Stephen Hodges Thomas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-660-3831 Fax: 918-660-3821 | |
Eric Brady Woolley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-949-1884 |