| Dr Stacey Amber Kubovec, MD | |
|
4444 E 41st St, Tulsa, OK 74135-2527 | |
| (918) 619-4400 | |
| (918) 619-4960 |
| Full Name | Dr Stacey Amber Kubovec |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 4444 E 41st St, 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 |
|---|---|---|---|
| 1245762673 | NPI | - | NPPES |
| 201220420A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 42481 (Oklahoma) | Primary |
| Entity Name | Little Company Of Mary Hospital Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114120128 PECOS PAC ID: 4587578042 Enrollment ID: O20031118000733 |
| Entity Name | University Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316966229 PECOS PAC ID: 9436171949 Enrollment ID: O20051228000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacey Amber Kubovec, MD Po Box 268838, Oklahoma City, OK 73126-8838 Ph: (918) 634-7500 | Dr Stacey Amber Kubovec, MD 4444 E 41st St, Tulsa, OK 74135-2527 Ph: (918) 619-4400 |
Alex Bryan Olsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1805 Fax: 918-494-4573 | |
Shelley Capehart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 900, Tulsa, OK 74136 Phone: 918-481-4800 Fax: 918-481-4826 | |
Charles Anthony Howard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-744-3523 Fax: 918-744-3463 | |
Peter Richard Nelson, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 4444 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 Fax: 918-619-4960 | |
Scott A Newbrough, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 Phone: 918-403-7070 Fax: 918-403-6327 | |
Dr. Susan A Rose, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1725 E 19th St, Suite 800, Tulsa, OK 74104 Phone: 918-301-2505 Fax: 918-301-3633 | |
Theresa Marie York, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 8801 S 101st East Ave, Tulsa, OK 74133 Phone: 918-294-4900 |