Dr Samuel Jay Pangburn, DO in Tulsa, OK - Medicare General Surgery

Dr Samuel Jay Pangburn, DO is a medicare enrolled "Surgery" physician in Tulsa, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Warren Clinic Inc and his current practice location is 10505 E 91st St Ste 203, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 307-3120.

Dr Samuel Jay Pangburn is licensed to practice in Oklahoma (license number 3593) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922085216.

Contact Information

	Dr Samuel Jay Pangburn, DO
	10505 E 91st St Ste 203, Tulsa, OK 74133
	(918) 307-3120
	(918) 307-3121

Map and Direction

Physician's Profile

Full Name	Dr Samuel Jay Pangburn
Gender	Male
Speciality	General Surgery
Experience	27 Years
Location	10505 E 91st St Ste 203, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Samuel Jay Pangburn attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1997

NPI Data:

NPI Number: 1922085216
Provider Enumeration Date: 12/28/2005
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9335100494
Enrollment ID: I20041129000529

Medical Identifiers

Medical identifiers for Dr Samuel Jay Pangburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922085216	NPI	-	NPPES
100096880A	Medicaid	OK
171802501	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	3593 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Hospital South, Llc	Tulsa, OK	Hospital
Saint Francis Hospital, Inc	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Warren Clinic Inc	8820900293	604

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samuel Jay Pangburn allows following entities to bill medicare on his behalf.

Entity Name	Warren Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Jay Pangburn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Samuel Jay Pangburn, DO 6600 S Yale Ave Ste 14000, Tulsa, OK 74136-3347 Ph: (888) 247-0125	Dr Samuel Jay Pangburn, DO 10505 E 91st St Ste 203, Tulsa, OK 74133 Ph: (918) 307-3120

Reviews and Comments

Surgery Doctors in Tulsa, OK

Alex Bryan Olsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1805 Fax: 918-494-4573
Shelley Capehart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 900, Tulsa, OK 74136 Phone: 918-481-4800 Fax: 918-481-4826
Charles Anthony Howard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-744-3523 Fax: 918-744-3463
Wyatt Ho, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 101, Tulsa, OK 74136 Phone: 918-502-7175 Fax: 918-502-7180
Peter Richard Nelson, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104 Phone: 918-619-4400 Fax: 918-634-7560
Scott A Newbrough, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 Phone: 918-403-7070 Fax: 918-403-6327
Dr. Susan A Rose, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1725 E 19th St, Suite 800, Tulsa, OK 74104 Phone: 918-301-2505 Fax: 918-301-3633

Dr Samuel Jay Pangburn, DO - Medicare General Surgery in Tulsa, OK