Jack Arnold Tully, DPT | |
7005 Se 15th St Ste 200, Midwest City, OK 73110-5126 | |
(405) 610-2488 | |
(405) 610-2484 |
Full Name | Jack Arnold Tully |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 7005 Se 15th St Ste 200, Midwest City, 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 |
---|---|---|---|
1427624303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6034 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valir Outpatient Clinics Llc | 3072562412 | 43 |
Provider Name | Valir Outpatient Clinics Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982683306 PECOS PAC ID: 3072562412 Enrollment ID: O20091005000532 |
Mailing Address | Practice Location Address |
---|---|
Jack Arnold Tully, DPT 800 Nw 6th St, Oklahoma City, OK 73106-7241 Ph: (405) 609-3667 | Jack Arnold Tully, DPT 7005 Se 15th St Ste 200, Midwest City, OK 73110-5126 Ph: (405) 610-2488 |
Irving Riley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 351 N Air Depot Blvd Ste X, Midwest City, OK 73110 Phone: 405-732-1766 | |
Danielle Lea Settle, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1624 Midtown Pl Ste B, Midwest City, OK 73130 Phone: 405-665-0583 Fax: 405-665-0601 | |
Chayna Montryce Laval Hayward, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9309 E Reno Ave, Midwest City, OK 73130 Phone: 405-732-3353 Fax: 405-732-3397 | |
Robert Morris, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9309 E Reno Ave, Midwest City, OK 73130 Phone: 405-732-3353 Fax: 405-732-3397 | |
Andrea Clayton-watson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3617 Rolling Ln, Midwest City, OK 73110 Phone: 405-476-0619 | |
Mrs. Tara Alese Dawkins, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 351 N Air Depot Blvd Ste X, Midwest City, OK 73110 Phone: 405-732-1766 Fax: 405-732-4337 | |
Darin E Pape, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9309 E Reno Ave, Midwest City, OK 73130 Phone: 405-732-3353 Fax: 405-732-3397 |