| Dr Bruce Ben Pettigrove, MD | |
|
2448 E 81st St Ste 3700, Tulsa, OK 74137-4257 | |
| (918) 492-4122 | |
| (918) 492-7451 |
| Full Name | Dr Bruce Ben Pettigrove |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 45 Years |
| Location | 2448 E 81st St Ste 3700, 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 |
|---|---|---|---|
| 1154351310 | NPI | - | NPPES |
| 100089490A | Medicaid | OK | |
| 200020920 A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 13121 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulsa Spine & Specialty Hospital | Tulsa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tulsa Eye Consultants, Inc. | 4082801808 | 2 |
| Entity Name | Tulsa Eye Consultants, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164619110 PECOS PAC ID: 4082801808 Enrollment ID: O20101206001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Ben Pettigrove, MD 2448 E 81st St Ste 3700, Tulsa, OK 74137-4257 Ph: (918) 492-4122 | Dr Bruce Ben Pettigrove, MD 2448 E 81st St Ste 3700, Tulsa, OK 74137-4257 Ph: (918) 492-4122 |
Mark Justin Weiss, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1717 S Utica Ave, Ste 107, Tulsa, OK 74104 Phone: 918-742-2428 Fax: 918-742-8435 | |
Anthony Economou, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2865 E Skelly Dr Ste 250, Tulsa, OK 74105 Phone: 918-317-0022 Fax: 855-327-9828 | |
Dr. Justin Parschauer, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6600 S Yale Ave, Suite 800, Tulsa, OK 74136 Phone: 918-491-3900 | |
Dr. Zeb Linston Brister, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3906 S Peoria Ave, Tulsa, OK 74105 Phone: 918-585-1523 Fax: 918-584-5520 | |
John Thomas Romano, D.O. Ophthalmology Medicare: Medicare Enrolled Practice Location: 4444 S Harvard Ave, Ste 300, Tulsa, OK 74135 Phone: 918-747-2020 Fax: 918-747-2056 | |
Shehzad Y Batliwala, D.O Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10010 E 81st St Ste 100, Tulsa, OK 74133 Phone: 918-250-2020 |