Fernando Motta, MD | |
1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | |
(918) 619-4400 | |
(918) 634-7560 |
Full Name | Fernando Motta |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 1919 S Wheeling Ave Ste 600, 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 |
---|---|---|---|
1972166437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 40505 (Oklahoma) | Primary |
Entity Name | Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154385730 PECOS PAC ID: 5395645329 Enrollment ID: O20040113000654 |
Mailing Address | Practice Location Address |
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Fernando Motta, MD Po Box 268838, Oklahoma City, OK 73126-8838 Ph: (918) 634-7500 | Fernando Motta, MD 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 Ph: (918) 619-4400 |
Alex Bryan Olsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1805 Fax: 918-494-4573 | |
Shelley Capehart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 900, Tulsa, OK 74136 Phone: 918-481-4800 Fax: 918-481-4826 | |
Charles Anthony Howard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-744-3523 Fax: 918-744-3463 | |
Wyatt Ho, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 101, Tulsa, OK 74136 Phone: 918-502-7175 Fax: 918-502-7180 | |
Peter Richard Nelson, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104 Phone: 918-619-4400 Fax: 918-634-7560 | |
Scott A Newbrough, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 Phone: 918-403-7070 Fax: 918-403-6327 | |
Dr. Susan A Rose, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1725 E 19th St, Suite 800, Tulsa, OK 74104 Phone: 918-301-2505 Fax: 918-301-3633 |