| Dr Bryan Andrew Vandoren, MD | |
|
6130 E 81st St, Tulsa, OK 74137-2125 | |
| (918) 401-1002 | |
| (918) 493-3304 |
| Full Name | Dr Bryan Andrew Vandoren |
|---|---|
| Gender | Male |
| Speciality | Addiction Medicine |
| Experience | 38 Years |
| Location | 6130 E 81st St, 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 |
|---|---|---|---|
| 1447298120 | NPI | - | NPPES |
| 100229400A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083A0300X | Preventive Medicine - Addiction Medicine | 17313 (Oklahoma) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 17313 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Pain Of Tulsa Pllc | 5890034144 | 8 |
| Entity Name | Advanced Pain Of Tulsa Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699246645 PECOS PAC ID: 5890034144 Enrollment ID: O20190304001164 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan Andrew Vandoren, MD 6130 E 81st St, Tulsa, OK 74137-2125 Ph: (918) 401-1002 | Dr Bryan Andrew Vandoren, MD 6130 E 81st St, Tulsa, OK 74137-2125 Ph: (918) 401-1002 |
Sarah Anne Shaw-dressler, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578 | |
Julia Margaret Kwon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539 | |
Peter Madden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 | |
Thao Tran, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400 | |
Prasoonkumar Yendluri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-502-1900 Fax: 918-494-6303 | |
Robert Peter Aran, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365 | |
Robert Dean Okada, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455 |