| Brent Dean Hartsell, MD | |
|
1923 S Utica Ave, Tulsa, OK 74104-6520 | |
| (918) 744-2553 | |
| (918) 744-3482 |
| Full Name | Brent Dean Hartsell |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 39 Years |
| Location | 1923 S Utica Ave, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265459960 | NPI | - | NPPES |
| 100158850A | Medicaid | KS | |
| 100169690A | Medicaid | OK | |
| 1978 | Medicaid | OK |
| Facility Name | Location | Facility Type |
|---|---|---|
| St John Medical Center, Inc | Tulsa, OK | Hospital |
| Hillcrest Medical Center | Tulsa, OK | Hospital |
| Stillwater Medical Center | Stillwater, OK | Hospital |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Bailey Medical Center, Llc | Owasso, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Laboratory Associates, Inc. | 3476539529 | 24 |
| Pathology Laboratory Associates, Inc. | 3476539529 | 24 |
| Entity Name | Pathology Laboratory Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750314076 PECOS PAC ID: 3476539529 Enrollment ID: O20041117000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Dean Hartsell, MD 4142 S Mingo Rd, Tulsa, OK 74146-3632 Ph: (918) 744-2553 | Brent Dean Hartsell, MD 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 744-2553 |
William Frederick Fitter, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2553 Fax: 918-744-3482 | |
Dr. Melvin J Vanboven, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 8803 S. 101st E. Ave, Suite 360, Tulsa, OK 74133 Phone: 918-582-0001 Fax: 918-582-0003 | |
Stephanie Cay Holt, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2553 Fax: 918-744-3482 | |
Dr. Sarah G Mcginn, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4142 S Mingo Rd, Tulsa, OK 74146 Phone: 918-744-2553 | |
Cynthia L Holmes, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-742-1478 Fax: 918-747-7831 | |
Terry R Gerard, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 8803 S 101st E Ave, Suite 360, Tulsa, OK 74133 Phone: 918-582-0001 Fax: 918-582-0003 | |
Dr. Ryan Lane Hendren, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2553 Fax: 918-744-3482 |