Derrick Coupe, CRNA | |
8801 S 101st East Ave, Tulsa, OK 74133-5716 | |
(918) 294-4915 | |
(918) 294-4947 |
Full Name | Derrick Coupe |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 8801 S 101st East Ave, 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 |
---|---|---|---|
1902850340 | NPI | - | NPPES |
900522349 | Other | OK | MEDICARE GROUP PIN |
200052000A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R0069640 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St John Medical Center, Inc | Tulsa, OK | Hospital |
Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Oklahoma, Pllc | 1254519275 | 80 |
St. John Anesthesia Services, Inc. | 4789607938 | 44 |
Entity Name | Ahs Oklahoma Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
Entity Name | St. John Anesthesia Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
Mailing Address | Practice Location Address |
---|---|
Derrick Coupe, CRNA 7912 E 31st Ct, Ste 210, Tulsa, OK 74145-1315 Ph: (918) 392-4477 | Derrick Coupe, CRNA 8801 S 101st East Ave, Tulsa, OK 74133-5716 Ph: (918) 294-4915 |
Mrs. Ashley Dinkel Westerman, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 S 109th East Ave, Tulsa, OK 74146 Phone: 918-392-1400 | |
Dr. Samuel Shyam Adhikari, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-0612 | |
Tara A Mccants, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 | |
Wendy A. Watkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 S. Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-918-4150 | |
Clinton Alsup, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 800-939-7440 | |
Stan Allen Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 Fax: 918-481-5170 | |
Christopher Thomas Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 Fax: 806-356-2939 |