| Dr Elizabeth Trigalet Bader, DO | |
| 
					12150 E 96th St N Ste 101, Owasso, OK 74055-5339  | |
| (918) 716-5437 | |
| (539) 202-5020 | 
| Full Name | Dr Elizabeth Trigalet Bader | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 12150 E 96th St N Ste 101, Owasso, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790940500 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 4738 (Oklahoma) | Primary | 
| Entity Name | Emergency Medicine Physicians Of Tulsa County Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003098773 PECOS PAC ID: 8628140225 Enrollment ID: O20080626000116  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Elizabeth Trigalet Bader, DO 12150 E 96th St N Ste 101, Owasso, OK 74055-5339 Ph: (918) 716-5437  | Dr Elizabeth Trigalet Bader, DO 12150 E 96th St N Ste 101, Owasso, OK 74055-5339 Ph: (918) 716-5437  | 
Melanie Renee Hanisch, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12150 E 96th St N Ste 101, Owasso, OK 74055 Phone: 918-716-5437  | |
Dr. Laurie Elizabeth Mickle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10512 N 110th East Ave, Suite 300, Owasso, OK 74055 Phone: 918-376-8901 Fax: 918-376-8939  | |
Shelby Laine Droege, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12455 E 100th St N Ste 300, Owasso, OK 74055 Phone: 405-730-6990  | |
Dr. Theresa Lynn Horton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10512 N 110th East Ave, Owasso, OK 74055 Phone: 918-376-8901 Fax: 918-376-8939  | |
Dr. Lauri Sue Blesch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10512 N 110th East Ave, Ste 240, Owasso, OK 74055 Phone: 918-376-8901 Fax: 918-376-8929  | |
Mrs. Cheryl Ann Boyd, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8439 N 117th East Ave, Owasso, OK 74055 Phone: 918-272-8989 Fax: 918-272-4185  |