Stephanie Elaine Kelly, DO | |
5801 E 41st St, Tulsa, OK 74135-5618 | |
(918) 743-8943 | |
(918) 743-8552 |
Full Name | Stephanie Elaine Kelly |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 5801 E 41st St, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598721755 | NPI | - | NPPES |
200031830B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A-2464-21 (New Mexico) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 3749 (Oklahoma) | Primary |
Entity Name | Tulsa Radiology Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871574509 PECOS PAC ID: 1658260492 Enrollment ID: O20040505000680 |
Mailing Address | Practice Location Address |
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Stephanie Elaine Kelly, DO 5801 E 41st St, Tulsa, OK 74135-5618 Ph: (918) 743-8943 | Stephanie Elaine Kelly, DO 5801 E 41st St, Tulsa, OK 74135-5618 Ph: (918) 743-8943 |
Jonathan Cross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552 | |
Dr. Kim R Hauger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552 | |
Nina Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 4500 S Garnett Rd Ste 300, Tulsa, OK 74146 Phone: 918-728-6194 | |
Dr. Leila Danielle See, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 744 W 9th St, Tulsa, OK 74127 Phone: 981-599-5031 | |
Christopher Roman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 S Garnett Rd Ste 112, Tulsa, OK 74146 Phone: 918-935-3550 | |
Dr. Phillip Osborn Flinn, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-934-8347 Fax: 918-917-4114 | |
Shawn D Grant, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-7720 |