| Jm Medical | |
|
9820 E 41st St Ste 301 Tulsa OK 74146-3605 | |
| (918) 876-0521 | |
| Not Available |
| Full Name | Jm Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 9820 E 41st St Ste 301, Tulsa, Oklahoma |
| Authorized Official Name and Position | Amy Beverley (BILLING) |
| Authorized Official Contact | 9189364295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jm Medical 9820 E 41st St Ste 301 Tulsa OK 74146-3605 Ph: (918) 876-0521 | Jm Medical 9820 E 41st St Ste 301 Tulsa OK 74146-3605 Ph: (918) 876-0521 |
| NPI Number | 1598175077 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 07/14/2022 |
| Medicare PECOS PAC ID | 4789019977 |
|---|---|
| Medicare Enrollment ID | O20200116000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598175077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph M Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104853142 PECOS PAC ID: 3678512266 Enrollment ID: I20050623000314 |
| Provider Name | Amanda Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194340307 PECOS PAC ID: 4688087950 Enrollment ID: I20210105001601 |
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