Larry L Ellis, DO | |
2345 Southwest Blvd, Tulsa, OK 74107-2705 | |
(918) 582-1980 | |
Not Available |
Full Name | Larry L Ellis |
---|---|
Gender | Male |
Speciality | Osteopathic Manipulative Medicine |
Experience | 25 Years |
Location | 2345 Southwest Blvd, 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 |
---|---|---|---|
1972572576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3803 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Choctaw Nation Health Services Authority | Talihina, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Choctaw Nation Of Oklahoma | 1759294838 | 217 |
Entity Name | Choctaw Nation Of Oklahoma |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Larry L Ellis, DO 2345 Southwest Blvd, Tulsa, OK 74107-2705 Ph: (918) 582-1980 | Larry L Ellis, DO 2345 Southwest Blvd, Tulsa, OK 74107-2705 Ph: (918) 582-1980 |
Eric Sandoval, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 South St.louis Ave, Tulsa, OK 74120 Phone: 918-619-3395 | |
Dr. Robert Capehart, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 E 18th St, Tulsa, OK 74120 Phone: 918-361-2771 | |
Dr. Terence E Grewe, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3316 E 21st St, Suite A, Tulsa, OK 74114 Phone: 918-749-3533 Fax: 918-749-9789 | |
Brian Crotty, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave, Ll 100, Tulsa, OK 74104 Phone: 918-748-7890 Fax: 918-403-6300 | |
Charles C Powell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7501 Riverside Pkwy, Tulsa, OK 74136 Phone: 918-710-4200 Fax: 918-403-6331 | |
Jess T Roy, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 7912 E 31st Ct, Suite 220, Tulsa, OK 74145 Phone: 918-743-8200 Fax: 918-743-8609 | |
Dr. Robert Leroy Winter, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3140 S Lewis Pl, Tulsa, OK 74105 Phone: 918-749-1396 |