Holly Renee Lavender, PA-C in Tulsa, OK - Medicare Physician Assistant

Holly Renee Lavender, PA-C is a medicare enrolled "Physician Assistant" in Tulsa, Oklahoma. Her current practice location is 6161 S Yale Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 392-4685.

Holly Renee Lavender is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184197899.

Contact Information

	Holly Renee Lavender, PA-C
	6161 S Yale Ave, Tulsa, OK 74136-1902
	(918) 392-4685
	(918) 392-4693

Map and Direction

Provider's Profile

Full Name	Holly Renee Lavender
Gender	Female
Speciality	Physician Assistant
Location	6161 S Yale Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184197899
Provider Enumeration Date: 01/04/2019
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7911352620
Enrollment ID: I20231016003542

Medical Identifiers

Medical identifiers for Holly Renee Lavender such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184197899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Renee Lavender is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Holly Renee Lavender, PA-C 6839 S Canton Ave, Tulsa, OK 74136-3402 Ph: (918) 392-4685	Holly Renee Lavender, PA-C 6161 S Yale Ave, Tulsa, OK 74136-1902 Ph: (918) 392-4685

Reviews and Comments

Physician Assistant Nurses in Tulsa, OK

Jessica Lee Luetkemeyer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1111 S Saint Louis Ave, Tulsa, OK 74120 Phone: 918-619-4400 Fax: 918-619-4696
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Mr. Eldon Eugene Haggard, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9322 E 41st St, Tulsa, OK 74145 Phone: 918-764-7234
Laura Kerr, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104 Phone: 918-748-8381

Holly Renee Lavender, PA-C - Medicare Physician Assistant in Tulsa, OK