Archwell Health Professional Services Of Oklahoma, Llc - Medicare Primary Care in Tulsa, OK

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Archwell Health Professional Services Of Oklahoma, Llc is a medicare enrolled primary clinic (Internal Medicine) in Tulsa, Oklahoma. The current practice location for Archwell Health Professional Services Of Oklahoma, Llc is 3138 S Garnett Rd, Tulsa, Oklahoma. For appointments, you can reach them via phone at (888) 987-1151. The mailing address for Archwell Health Professional Services Of Oklahoma, Llc is 102 Woodmont Blvd Ste 600, Nashville, Tennessee and phone number is () -.

Archwell Health Professional Services Of Oklahoma, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457934895. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (888) 987-1151.

Contact Information

Archwell Health Professional Services Of Oklahoma, Llc
3138 S Garnett Rd
Tulsa
OK 74146-1933
(888) 987-1151
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameArchwell Health Professional Services Of Oklahoma, Llc
SpecialityInternal Medicine
Location3138 S Garnett Rd, Tulsa, Oklahoma
Authorized Official Name and PositionLisa Lucas (CHIEF ADMINISTRATIVE OFFICER)
Authorized Official Contact6154199047
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Archwell Health Professional Services Of Oklahoma, Llc
102 Woodmont Blvd Ste 600
Nashville
TN 37205-5250

Ph: () -		Archwell Health Professional Services Of Oklahoma, Llc
3138 S Garnett Rd
Tulsa
OK 74146-1933

Ph: (888) 987-1151

NPI Details:

NPI Number1457934895
Provider Enumeration Date05/03/2021
Last Update Date04/05/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6608272638
Medicare Enrollment IDO20210831000931

Medical Identifiers

Medical identifiers for Archwell Health Professional Services Of Oklahoma, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457934895NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Archwell Health Professional Services Of Oklahoma, Llc acts as a billing entity for following providers:
Provider NameWilliam Craig Cook
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891759213
PECOS PAC ID: 1355235383
Enrollment ID: I20040211000420
Provider NameRaeanne Lambert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104828755
PECOS PAC ID: 9234193145
Enrollment ID: I20041118001126
Provider NameNathan A Boren
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508831447
PECOS PAC ID: 6507883261
Enrollment ID: I20051101000669
Provider NameRhett L Jackson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235107426
PECOS PAC ID: 8123034493
Enrollment ID: I20060223000187
Provider NamePaul Pisarik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306843248
PECOS PAC ID: 3476538240
Enrollment ID: I20060505000141
Provider NameCharlyce Erin Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144360256
PECOS PAC ID: 7315047206
Enrollment ID: I20070706000227
Provider NameClinton A Winslow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205886744
PECOS PAC ID: 3274692553
Enrollment ID: I20081030000833
Provider NameKelly D Stemm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477789923
PECOS PAC ID: 9234282104
Enrollment ID: I20131105001342
Provider NameEdith J Lubin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780607952
PECOS PAC ID: 8820154206
Enrollment ID: I20131226001551
Provider NameCharles Pollard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497164396
PECOS PAC ID: 4183942683
Enrollment ID: I20150414000120
Provider NameAndria Medina
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598059701
PECOS PAC ID: 5193948388
Enrollment ID: I20151113001801
Provider NameAudrey B Goodwin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952661688
PECOS PAC ID: 3678891462
Enrollment ID: I20160706000272
Provider NameTammy L Wagstaff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780162560
PECOS PAC ID: 5597017798
Enrollment ID: I20181017001072
Provider NameRobin Lynn Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457983579
PECOS PAC ID: 0547697591
Enrollment ID: I20210119002537
Provider NameShawna Kay Passman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265921449
PECOS PAC ID: 7315374642
Enrollment ID: I20210720001295
Provider NameJoshua Lowe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679059406
PECOS PAC ID: 1850728460
Enrollment ID: I20210927001578
Provider NameMark Mayfield
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376567081
PECOS PAC ID: 6204920945
Enrollment ID: I20211006002957
Provider NameDonald Joseph Goddard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134229412
PECOS PAC ID: 4486648664
Enrollment ID: I20211206001131
Provider NameMichael Jordan Lipp
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427016021
PECOS PAC ID: 3173678323
Enrollment ID: I20211216000240
Provider NameNaga L Pannala
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1366673352
PECOS PAC ID: 2365743556
Enrollment ID: I20220226000223
Provider NameAmabel Varghese
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962068171
PECOS PAC ID: 8527435585
Enrollment ID: I20221103001085
Provider NameLuz Mariel Hidalgo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518283159
PECOS PAC ID: 2365814019
Enrollment ID: I20230207002001
Provider NameStacy Philip
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366025207
PECOS PAC ID: 9830561992
Enrollment ID: I20230217002784
Provider NameLyndsey Daggs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215590260
PECOS PAC ID: 7113301094
Enrollment ID: I20230628000405
Provider NameJaspreet Kaur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215458443
PECOS PAC ID: 2567994064
Enrollment ID: I20241022000171
Provider NameDerek Norcom
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326087263
PECOS PAC ID: 3375586860
Enrollment ID: I20241107001451
Provider NameDana Stournaras
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013526227
PECOS PAC ID: 9133549629
Enrollment ID: I20241119000420

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.