Justin Puthoff, MD is a
Student In An Organized Health Care Education/training Program physician based in Tulsa, Oklahoma. Justin Puthoff is licensed to practice in Oklahoma (license number 33927) and his current practice location is 1802 E 19th St, Tulsa, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 634-7539.
NPI number for Justin Puthoff is 1184111015 and his current mailing address is 1802 E 19th St, Tulsa, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184111015.
Physician's Profile
| Full Name | Justin Puthoff |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1802 E 19th St, Tulsa, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184111015
- Provider Enumeration Date: 04/17/2018
- Last Update Date: 08/12/2021
Medical Identifiers
Medical identifiers for Justin Puthoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184111015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 33927 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 33927 (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. Justin Puthoff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Justin Puthoff, MD
1802 E 19th St,
Tulsa, OK 74104-5403
Ph: () - | Justin Puthoff, MD
1802 E 19th St,
Tulsa, OK 74104-5403
Ph: (918) 634-7539 |
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