Lea Sarah Humphrey, DO | |
1203 E Ross Byp, Tahlequah, OK 74464-4133 | |
(918) 453-1234 | |
(918) 453-9107 |
Full Name | Lea Sarah Humphrey |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 14 Years |
Location | 1203 E Ross Byp, Tahlequah, 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 |
---|---|---|---|
1649584855 | NPI | - | NPPES |
200593430A | Medicaid | OK |
Facility Name | Location | Facility Type |
---|---|---|
Northeastern Health System | Tahlequah, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeastern Health System | 1456255025 | 94 |
Northeastern Oklahoma Community Health Centers, Inc | 3678482635 | 27 |
Entity Name | Northeastern Oklahoma Community Health Centers, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518070481 PECOS PAC ID: 3678482635 Enrollment ID: O20031104000417 |
Entity Name | Northeastern Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
Entity Name | Tahlequah Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881960771 PECOS PAC ID: 4082861349 Enrollment ID: O20120822000336 |
Mailing Address | Practice Location Address |
---|---|
Lea Sarah Humphrey, DO 100 Mercy Way, Ste 560, Joplin, MO 64804-4524 Ph: (417) 556-8555 | Lea Sarah Humphrey, DO 1203 E Ross Byp, Tahlequah, OK 74464-4133 Ph: (918) 453-1234 |
Tracey Way Childers, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1203 E Ross Byp, Suite A, Tahlequah, OK 74464 Phone: 918-453-1234 Fax: 918-453-9107 | |
Susan K Anderson, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1203 E Ross Byp, Suite A, Tahlequah, OK 74464 Phone: 918-453-1234 Fax: 918-453-9107 | |
Charles Joseph Wine, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3360 Fax: 918-458-3511 |