Miss Calissa Marie Fletcher, is a
Student In An Organized Health Care Education/training Program based in Tulsa, Oklahoma. Miss Calissa Marie Fletcher is licensed to practice in Oklahoma (license number ) and her current practice location is
1018 Sunset Dr, Tulsa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(469) 396-2600.
NPI number for Miss Calissa Marie Fletcher is 1134903214 and her current mailing address is 1018 Sunset Dr, Tulsa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134903214.
Provider's Profile
| Full Name | Miss Calissa Marie Fletcher |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1018 Sunset Dr, Tulsa, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134903214
- Provider Enumeration Date: 08/21/2023
- Last Update Date: 08/21/2023
Medical Identifiers
Medical identifiers for Miss Calissa Marie Fletcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134903214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Oklahoma) | 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. Miss Calissa Marie Fletcher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Calissa Marie Fletcher,
1018 Sunset Dr,
Tulsa, OK 74114-1242
Ph: (469) 396-2600 | Miss Calissa Marie Fletcher,
1018 Sunset Dr,
Tulsa, OK 74114-1242
Ph: (469) 396-2600 |
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