| Dr Gary W Breipohl, MD | |
|
9423 E 95th Ct, Tulsa, OK 74133-5805 | |
| (918) 496-2400 | |
| (405) 948-6507 |
| Full Name | Dr Gary W Breipohl |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 9423 E 95th Ct, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083609861 | NPI | - | NPPES |
| 4854514 | Other | OK | CIGNA |
| 050072987 | Other | OK | RAILROAD MEDICARE |
| 100194990C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 16657 (Oklahoma) | Secondary |
| 207L00000X | Anesthesiology | 54361 (Arizona) | Primary |
| Entity Name | Anesthesia Associates Of Tulsa Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174970669 PECOS PAC ID: 8527354166 Enrollment ID: O20160908001505 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary W Breipohl, MD Dept 1654, Tulsa, OK 74182-0001 Ph: (405) 947-8585 | Dr Gary W Breipohl, MD 9423 E 95th Ct, Tulsa, OK 74133-5805 Ph: (918) 496-2400 |
David Do, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2811 E 15th St Ste 102, Tulsa, OK 74104 Phone: 918-935-3240 Fax: 918-935-3241 | |
Reginald Gene Scott, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 | |
Kimberlie K Dullye, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 744 W 9th St, Tulsa, OK 74127 Phone: 918-587-2561 | |
Michelle Pieratt, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 361-949-4976 | |
Judy A Distefano, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9423 E 95th Ct, Tulsa, OK 74133 Phone: 918-496-2400 Fax: 918-496-2436 | |
Kenneth Calrisian Reed, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9320 S Mingo Rd, Tulsa, OK 74133 Phone: 918-901-9701 Fax: 918-901-9702 | |
Dr. Jonathan D Friend, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 S Garnett Rd, Ste 919, Tulsa, OK 74146 Phone: 918-728-6194 Fax: 918-664-2521 |