Walter Mark Boomer, MD | |
2832 E 101st St, Tulsa, OK 74137-5601 | |
(918) 771-4455 | |
(918) 771-4447 |
Full Name | Walter Mark Boomer |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 35 Years |
Location | 2832 E 101st St, 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 |
---|---|---|---|
1578598074 | NPI | - | NPPES |
100090560A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 17300 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
Saint Francis Hospital South, Llc | Tulsa, OK | Hospital |
Creek Nation Community Hospital | Okemah, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Creek Nation Hospital And Clinics | 5698786226 | 277 |
Warren Clinic Inc | 8820900293 | 607 |
Creek Nation Hospital And Clinics | 5698786226 | 277 |
Entity Name | Warren Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
Entity Name | Pulmonary Medicine Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295760791 PECOS PAC ID: 8527095496 Enrollment ID: O20050721000949 |
Entity Name | Creek Nation Hospital & Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
Mailing Address | Practice Location Address |
---|---|
Walter Mark Boomer, MD Po Box 3478, Dept A, Tulsa, OK 74101-3478 Ph: (918) 494-9288 | Walter Mark Boomer, MD 2832 E 101st St, Tulsa, OK 74137-5601 Ph: (918) 771-4455 |
Sarah Anne Shaw-dressler, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578 | |
Julia Margaret Kwon, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539 | |
Peter Madden, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 | |
Thao Tran, D.O Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400 | |
Prasoonkumar Yendluri, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-502-1900 Fax: 918-494-6303 | |
Robert Peter Aran, D.O. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365 | |
Robert Dean Okada, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455 |