Cedar Ridge Clinic,p.c. in Tulsa, OK - Medicare Family Medicine

Cedar Ridge Clinic,p.c. is a medicare enrolled primary clinic (Family Medicine) in Tulsa, Oklahoma. The current practice location for Cedar Ridge Clinic,p.c. is 10016 S Mingo Rd Ste A, Tulsa, Oklahoma. For appointments, you can reach them via phone at (918) 459-0583. The mailing address for Cedar Ridge Clinic,p.c. is 10016 S Mingo Rd Ste A, Tulsa, Oklahoma and phone number is (918) 459-0583.

Cedar Ridge Clinic,p.c. is licensed to practice in Oklahoma (license number 3313). The clinic also participates in the medicare program and its NPI number is 1366754202. 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 (918) 459-0583.

Contact Information

	Cedar Ridge Clinic,p.c.
	10016 S Mingo Rd Ste A Tulsa OK 74133-5789
	(918) 459-0583
	(918) 250-0120

Map and Direction

Primary Care Clinic Profile

Full Name	Cedar Ridge Clinic,p.c.
Speciality	Family Medicine
Location	10016 S Mingo Rd Ste A, Tulsa, Oklahoma
Authorized Official Name and Position	Trung H Pham (PHYSICIAN)
Authorized Official Contact	9184590583
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cedar Ridge Clinic,p.c. 10016 S Mingo Rd Ste A Tulsa OK 74133-5789 Ph: (918) 459-0583	Cedar Ridge Clinic,p.c. 10016 S Mingo Rd Ste A Tulsa OK 74133-5789 Ph: (918) 459-0583

NPI Details:

NPI Number	1366754202
Provider Enumeration Date	07/08/2010
Last Update Date	11/23/2010

Medicare PECOS Information:

Medicare PECOS PAC ID	7810179546
Medicare Enrollment ID	O20110316000654

Medical Identifiers

Medical identifiers for Cedar Ridge Clinic,p.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366754202	NPI	-	NPPES
100223040F	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	3313 (Oklahoma)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cedar Ridge Clinic,p.c. acts as a billing entity for following providers:

Provider Name	Trung H Pham
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1700851052 PECOS PAC ID: 0648176925 Enrollment ID: I20031209000110

Reviews and Comments

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Cedar Ridge Clinic,p.c. - Medicare Primary Care in Tulsa, OK