<unavail> in Tulsa, OK - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Tulsa, Oklahoma. The current practice location for is 11511 E 21st St, Tulsa, Oklahoma. For appointments, you can reach them via phone at (918) 295-6185. The mailing address for is 1334 N Lansing Ave, Tulsa, Oklahoma and phone number is (918) 587-2171.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205822830. 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) 295-6185.

Contact Information


	11511 E 21st St Tulsa OK 74129-1815
	(918) 295-6185
	(918) 439-4205

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	11511 E 21st St, Tulsa, Oklahoma
Authorized Official Name and Position	Saunya Moore (CFO)
Authorized Official Contact	9182956107
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1334 N Lansing Ave Tulsa OK 74106-5907 Ph: (918) 587-2171	11511 E 21st St Tulsa OK 74129-1815 Ph: (918) 295-6185

NPI Details:

NPI Number	1205822830
Provider Enumeration Date	09/20/2005
Last Update Date	07/24/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	1951297621
Medicare Enrollment ID	O20111213000780

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205822830	NPI	-	NPPES
100768880F	Medicaid	OK
1205822830	Other	OK	NPI
WCDPG	Other	OK	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Tulsa, OK

Tulsa Internal Medicine Physicians, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104 Phone: 918-748-8467
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 Phone: 918-740-4630 Fax: 918-289-0091
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4134 S Harvard Ave Ste B3, Tulsa, OK 74135 Phone: 918-442-2236 Fax: 918-794-2333
Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814
Qt Quikmed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4705 S 129th East Ave, Tulsa, OK 74134 Phone: 918-994-3953
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Peoria Ave, Tulsa, OK 74120 Phone: 918-609-5600
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N 161st East Ave, Tulsa, OK 74116 Phone: 800-993-8244

- Medicare Primary Care in Tulsa, OK