Oklahoma Pain And Wellness Center, Plc | |
2811 E 15th St Ste 102 Tulsa OK 74104-5242 | |
(918) 935-3240 | |
(918) 935-3241 |
Full Name | Oklahoma Pain And Wellness Center, Plc |
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Speciality | Clinic/Center |
Location | 2811 E 15th St Ste 102, Tulsa, Oklahoma |
Authorized Official Name and Position | Jayen H Patel (OWNER/PHYSICIAN) |
Authorized Official Contact | 9189353240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oklahoma Pain And Wellness Center, Plc 2811 E 15th St Ste 102 Tulsa OK 74104-5242 Ph: (918) 935-3240 | Oklahoma Pain And Wellness Center, Plc 2811 E 15th St Ste 102 Tulsa OK 74104-5242 Ph: (918) 935-3240 |
NPI Number | 1376862771 |
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Provider Enumeration Date | 05/25/2010 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 2466648936 |
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Medicare Enrollment ID | O20101123000304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376862771 | NPI | - | NPPES |
200294580A | Medicaid | OK |
Provider Name | Douglas A Powell |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356310387 PECOS PAC ID: 5890608137 Enrollment ID: I20051115000436 |
Provider Name | Rebecca J Mcbride |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396852356 PECOS PAC ID: 9830281260 Enrollment ID: I20070815000393 |
Provider Name | Satyendra Arya |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346206687 PECOS PAC ID: 4385733971 Enrollment ID: I20090519000209 |
Provider Name | Cara Leigh Guariglia |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1467779710 PECOS PAC ID: 3678871472 Enrollment ID: I20160412000817 |
Provider Name | Ruby Varghese Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477907244 PECOS PAC ID: 3971894296 Enrollment ID: I20160616001885 |
Provider Name | Cheryl A Feken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679008809 PECOS PAC ID: 0840556239 Enrollment ID: I20171120000134 |
Provider Name | Zoee A Rayner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215424635 PECOS PAC ID: 8123370830 Enrollment ID: I20181008002572 |
Provider Name | Amit Mirchandani |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1457687378 PECOS PAC ID: 6204007446 Enrollment ID: I20190705001011 |
Provider Name | Gerald Merritt |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1275067654 PECOS PAC ID: 0749611176 Enrollment ID: I20200709001314 |
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