| Dr Dianna Marie Willis, DO | |
|
1305 East Taft, Sapulpa, OK 74066-6033 | |
| (918) 224-8425 | |
| (918) 224-8426 |
| Full Name | Dr Dianna Marie Willis |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1305 East Taft, Sapulpa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376641316 | NPI | - | NPPES |
| 100111330D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2405 (Oklahoma) | Primary |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dianna Marie Willis, DO 1305 East Taft, Sapulpa, OK 74066-6033 Ph: (918) 224-8425 | Dr Dianna Marie Willis, DO 1305 East Taft, Sapulpa, OK 74066-6033 Ph: (918) 224-8425 |
Goldameir Akingbola, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-227-1000 | |
Dr. Kiamars Golmoradi, DO, MBA Family Medicine Medicare: Medicare Enrolled Practice Location: 1004 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-224-4280 Fax: 918-233-2180 | |
Charles Gebetsberger, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066 Phone: 918-227-1000 Fax: 918-293-3310 | |
Soledad Wang, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1125 E Cleveland Ave, Sapulpa, OK 74066 Phone: 918-224-9310 Fax: 918-756-3993 | |
Dr. Kathy L Stubbs, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1128 E. Cleveland, Sapulpa, OK 74066 Phone: 918-224-9310 Fax: 918-756-3993 | |
Tony Quan Ho, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 E Taft Ave, Suite 3, Sapulpa, OK 74066 Phone: 918-224-2222 Fax: 918-224-2227 | |
Dr. Gina R. Jones, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 838 N Moccasin St, Sapulpa, OK 74066 Phone: 918-224-3042 Fax: 918-248-9908 |