Dr Shea Pelham Pielsticker, MD is a medicare enrolled "Emergency Medicine" physician in Yukon, Oklahoma. His current practice location is
1201 Health Center Pkwy, Yukon, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 717-6851.
Dr Shea Pelham Pielsticker is licensed to practice in Oklahoma (license number 33202) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104355718.
Physician's Profile
| Full Name | Dr Shea Pelham Pielsticker |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1201 Health Center Pkwy, Yukon, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shea Pelham Pielsticker attended and graduated from in
NPI Data:
- NPI Number: 1104355718
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Shea Pelham Pielsticker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104355718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 33202 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 33202 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shea Pelham Pielsticker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shea Pelham Pielsticker, MD
1146 Nw 37th St,
Oklahoma City, OK 73118-5420
Ph: (918) 645-9535 | Dr Shea Pelham Pielsticker, MD
1201 Health Center Pkwy,
Yukon, OK 73099-6381
Ph: (405) 717-6851 |
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