| Dr Stephen Trey Bastible, DO | |
|
301 S J T Stites St, Sallisaw, OK 74955-9302 | |
| (918) 774-1400 | |
| Not Available |
| Full Name | Dr Stephen Trey Bastible |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 4 Years |
| Location | 301 S J T Stites St, Sallisaw, 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 |
|---|---|---|---|
| 1639745888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7722 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Professional Home Health | Sallisaw, OK | Home health agency |
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Northeastern Health System | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee Nation | 5799698742 | 369 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Trey Bastible, DO 1400 E Downing St, Tahlequah, OK 74464-3324 Ph: () - | Dr Stephen Trey Bastible, DO 301 S J T Stites St, Sallisaw, OK 74955-9302 Ph: (918) 774-1400 |
Lisa D Ortiz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 J T Stites Blvd, Redbird Smith Health Center, Sallisaw, OK 74955 Phone: 918-775-9159 Fax: 918-775-6469 | |
Dr. John P Agent, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1015 E Choctaw Ave, Sallisaw, OK 74955 Phone: 918-774-0034 Fax: 918-774-0650 |