| Dr Kayla Lakin-southern, DO | |
|
10109 E 79th St, Tulsa, OK 74133-4564 | |
| (918) 521-3688 | |
| Not Available |
| Full Name | Dr Kayla Lakin-southern |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 10109 E 79th St, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205815537 | NPI | - | NPPES |
| 930108407 | Other | OK | MEDICARE RAILROAD |
| 100227370A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2306 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 2306 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Regional Medical Center | Goodyear, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Hope Medical Group Of Arizona Llc | 2264593474 | 119 |
| Entity Name | City Of Hope Medical Group Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kayla Lakin-southern, DO 4209 S Redwood Ave, Broken Arrow, OK 74011-1473 Ph: (918) 521-3688 | Dr Kayla Lakin-southern, DO 10109 E 79th St, Tulsa, OK 74133-4564 Ph: (918) 521-3688 |
Dr. Robert Capehart, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 E 18th St, Tulsa, OK 74120 Phone: 918-361-2771 | |
Dr. Terence E Grewe, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3316 E 21st St, Suite A, Tulsa, OK 74114 Phone: 918-749-3533 Fax: 918-749-9789 | |
Brian Crotty, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave, Ll 100, Tulsa, OK 74104 Phone: 918-748-7890 Fax: 918-403-6300 | |
Charles C Powell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7501 Riverside Pkwy, Tulsa, OK 74136 Phone: 918-710-4200 Fax: 918-403-6331 | |
Jess T Roy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7912 E 31st Ct, Suite 220, Tulsa, OK 74145 Phone: 918-743-8200 Fax: 918-743-8609 | |
Dr. Robert Leroy Winter, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3140 S Lewis Pl, Tulsa, OK 74105 Phone: 918-749-1396 | |
Glenna Wong Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5635 N Mlk Jr Blvd, Tulsa, OK 74126 Phone: 918-398-9460 |