Jack Steve Miller, MD | |
10901 E 48th St, Tulsa, OK 74146-5830 | |
(918) 749-8765 | |
(918) 392-2155 |
Full Name | Jack Steve Miller |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 47 Years |
Location | 10901 E 48th St, Tulsa, 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 |
---|---|---|---|
1093737538 | NPI | - | NPPES |
100135260A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 11890 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Oklahoma Surgical Hospital, Llc | Tulsa, OK | Hospital |
St John Medical Center, Inc | Tulsa, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urologic Specialists Of Oklahoma Inc | 3779470091 | 34 |
Urologic Specialists Of Oklahoma Inc | 3779470091 | 34 |
Entity Name | Urologic Specialists Of Oklahoma Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174546162 PECOS PAC ID: 3779470091 Enrollment ID: O20140725001707 |
Mailing Address | Practice Location Address |
---|---|
Jack Steve Miller, MD 10901 E 48th St, Tulsa, OK 74146-5830 Ph: (918) 749-8765 | Jack Steve Miller, MD 10901 E 48th St, Tulsa, OK 74146-5830 Ph: (918) 749-8765 |
Dr. Dae Y Kim, M.D., PH.D Urology Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Suite 202, Tulsa, OK 74104 Phone: 918-579-3130 Fax: 918-579-3139 | |
Dr. Clarence Michael Johnson, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 802 S Jackson Ave, Suite 110, Tulsa, OK 74127 Phone: 918-599-4477 Fax: 918-599-4479 | |
Bruce Carlton Stoesser, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 10901 E 48th St S, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Kevin Joseph Gancarczyk, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10901 E 48th St, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Dr. Rustin Chanc Walters, M.D. Urology Medicare: Medicare Enrolled Practice Location: 10901 E 48th St, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Dr. Paul G Hagood, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Ste 202, Tulsa, OK 74104 Phone: 918-579-3130 Fax: 918-579-3139 |