Dr John Timothy Krueger, MD | |
1111 S Saint Louis Ave, Tulsa, OK 74120-5440 | |
(918) 619-4400 | |
(918) 619-4601 |
Full Name | Dr John Timothy Krueger |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1111 S Saint Louis Ave, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285600262 | NPI | - | NPPES |
5N390 | Other | AR | BLUE CROSS/BLUE SHIELD |
P00260757 | Other | AR | RAILROAD MEDICARE |
05110013100 | Other | AR | QUALCHOICE |
1285600262 | Medicaid | IA | |
158169001 | Medicaid | AR | |
8436548 | Other | AR | CIGNA |
200102360B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E4605 (Arkansas) | Secondary |
207Q00000X | Family Medicine | 25027 (Oklahoma) | Primary |
Entity Name | Chickasaw Nation Division Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
Mailing Address | Practice Location Address |
---|---|
Dr John Timothy Krueger, MD Po Box 268838, Oklahoma City, OK 73126-8838 Ph: (918) 619-4400 | Dr John Timothy Krueger, MD 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 Ph: (918) 619-4400 |
Eric Sandoval, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 South St.louis Ave, Tulsa, OK 74120 Phone: 918-619-3395 | |
Dr. Robert Capehart, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 E 18th St, Tulsa, OK 74120 Phone: 918-361-2771 | |
Dr. Terence E Grewe, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3316 E 21st St, Suite A, Tulsa, OK 74114 Phone: 918-749-3533 Fax: 918-749-9789 | |
Brian Crotty, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave, Ll 100, Tulsa, OK 74104 Phone: 918-748-7890 Fax: 918-403-6300 | |
Charles C Powell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7501 Riverside Pkwy, Tulsa, OK 74136 Phone: 918-710-4200 Fax: 918-403-6331 | |
Jess T Roy, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 7912 E 31st Ct, Suite 220, Tulsa, OK 74145 Phone: 918-743-8200 Fax: 918-743-8609 | |
Dr. Robert Leroy Winter, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3140 S Lewis Pl, Tulsa, OK 74105 Phone: 918-749-1396 |