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

is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Tulsa, Oklahoma. The current practice location for is 1007 S Peoria Ave, Tulsa, Oklahoma. For appointments, you can reach them via phone at (918) 587-1101. The mailing address for is 4401 W 109th St Ste 200, Leawood, Kansas and phone number is (918) 587-1101.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831185412. 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) 587-1101.

Contact Information


	1007 S Peoria Ave Tulsa OK 74120-4495
	(918) 587-1101
	(918) 592-7610

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1007 S Peoria Ave, Tulsa, Oklahoma
Authorized Official Name and Position	Victoria Parks (DIRECTOR OF HEALTH SERVICES OPS)
Authorized Official Contact	9185874621
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4401 W 109th St Ste 200 Leawood KS 66211-1303 Ph: (918) 587-1101	1007 S Peoria Ave Tulsa OK 74120-4495 Ph: (918) 587-1101

NPI Details:

NPI Number	1831185412
Provider Enumeration Date	09/20/2005
Last Update Date	06/01/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	2163453291
Medicare Enrollment ID	O20050829000130

Medical Identifiers

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

Identifier	Type	State	Issuer
1831185412	NPI	-	NPPES
100728930C	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Medicare Reassignments

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

Provider Name	Melissa A Wilson
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1689842361 PECOS PAC ID: 3870731359 Enrollment ID: I20130523000615

Provider Name	Joshua Yap
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1114305828 PECOS PAC ID: 5890110944 Enrollment ID: I20200806000404

Reviews and Comments

Clinic/Center in Tulsa, OK

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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