| Viemed Clinical Services, Llc | |
|
9726 E 42nd St Ste 135 Tulsa OK 74146-3626 | |
| (833) 452-0220 | |
| (800) 398-9547 |
| Full Name | Viemed Clinical Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9726 E 42nd St Ste 135, Tulsa, Oklahoma |
| Authorized Official Name and Position | Ryan Sullivan (EXECUTIVE VP) |
| Authorized Official Contact | 3375043802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viemed Clinical Services, Llc 9726 E 42nd St Ste 135 Tulsa OK 74146-3626 Ph: (833) 452-0220 | Viemed Clinical Services, Llc 9726 E 42nd St Ste 135 Tulsa OK 74146-3626 Ph: (833) 452-0220 |
| NPI Number | 1528648227 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 04/08/2021 |
| Certification Date | 04/08/2021 |
| Medicare PECOS PAC ID | 9830501543 |
|---|---|
| Medicare Enrollment ID | O20220318000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528648227 | NPI | - | NPPES |
| Provider Name | Jessica A Stombaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487074787 PECOS PAC ID: 1759680366 Enrollment ID: I20160504000127 |
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