Susan Blythe Young, DO | |
1301 Ne 1st St, Suite 200, Pryor, OK 74361-8850 | |
(918) 824-7767 | |
(918) 824-6410 |
Full Name | Susan Blythe Young |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 1301 Ne 1st St, Pryor, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467430496 | NPI | - | NPPES |
200064490A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 3799 (Oklahoma) | Primary |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Susan Blythe Young, DO 1831 E 71st St, Tulsa, OK 74136-3922 Ph: (918) 824-7773 | Susan Blythe Young, DO 1301 Ne 1st St, Suite 200, Pryor, OK 74361-8850 Ph: (918) 824-7767 |
Dr. Gary Lee Decker, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1301 Ne 1st St, Pryor, OK 74361 Phone: 918-824-7767 Fax: 918-824-6410 | |
Dr. Peter Sarfatis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Suite 108, Pryor, OK 74361 Phone: 918-825-2070 Fax: 918-825-0231 | |
Dr. Omer Raymond Nunley Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 133 N Fairland St, Pryor, OK 74361 Phone: 918-825-1957 Fax: 918-825-6930 |