Tera Santistevan, DPM is a medicare enrolled "Podiatrist" provider in Sapulpa, Oklahoma. She went to Western Un Of Hlth Sciences, Col Of Podiatric Med and graduated in 2018 and has 7 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Metro Tulsa Foot And Ankle Specialist Pllc and her current practice location is
400 S. Mission St., Sapulpa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 494-2902.
Tera Santistevan is licensed to practice in Oklahoma (license number 368) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588174841.
Healthcare Provider's Profile
| Full Name | Tera Santistevan |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 7 Years |
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| Location | 400 S. Mission St., Sapulpa, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tera Santistevan attended and graduated from Western Un Of Hlth Sciences, Col Of Podiatric Med in 2018
NPI Data:
- NPI Number: 1588174841
- Provider Enumeration Date: 10/01/2017
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355748518
- Enrollment ID: I20210930002205
Medical Identifiers
Medical identifiers for Tera Santistevan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588174841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 368 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Metro Tulsa Foot And Ankle Specialist Pllc | 1759293046 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tera Santistevan allows following entities to bill medicare on her behalf.
| Provider Name | Metro Tulsa Foot & Ankle Specialist Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477588945
PECOS PAC ID: 1759293046
Enrollment ID: O20031104000660 |
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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. Tera Santistevan 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 |
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Tera Santistevan, DPM
701 W. Elgin St.,
Broken Arrow, OK 74012
Ph: (918) 494-2902 | Tera Santistevan, DPM
400 S. Mission St.,
Sapulpa, OK 74066
Ph: (918) 494-2902 |
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