Laurie C Clark, DO | |
14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | |
(918) 439-1500 | |
(918) 439-1199 |
Full Name | Laurie C Clark |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 41 Years |
Location | 14002 E 21st St Ste 1130, Tulsa, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801864178 | NPI | - | NPPES |
100136290C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A10664 (California) | Secondary |
207Q00000X | Family Medicine | 036130673 (Illinois) | Secondary |
207Q00000X | Family Medicine | 2356 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oklahoma State University | 2769739358 | 99 |
Entity Name | Oklahoma State University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700994878 PECOS PAC ID: 2769739358 Enrollment ID: O20180730000192 |
Mailing Address | Practice Location Address |
---|---|
Laurie C Clark, DO 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 Ph: (918) 439-1500 | Laurie C Clark, DO 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 Ph: (918) 439-1500 |
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 |