Ethan Lee Allison, MD is a
Student In An Organized Health Care Education/training Program physician based in Tulsa, Oklahoma. Ethan Lee Allison is licensed to practice in * (Not Available) (license number ) and his current practice location is 5441 S Louisville Ave, Tulsa, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(931) 217-0984.
NPI number for Ethan Lee Allison is 1386263606 and his current mailing address is 1111 S Saint Louis Ave, Tulsa, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386263606.
Physician's Profile
| Full Name | Ethan Lee Allison |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5441 S Louisville Ave, Tulsa, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386263606
- Provider Enumeration Date: 04/16/2020
- Last Update Date: 07/16/2025
Medical Identifiers
Medical identifiers for Ethan Lee Allison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386263606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 41687 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Lee Allison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ethan Lee Allison, MD
1111 S Saint Louis Ave,
Tulsa, OK 74120-5440
Ph: (918) 619-4751 | Ethan Lee Allison, MD
5441 S Louisville Ave,
Tulsa, OK 74135-3815
Ph: (931) 217-0984 |
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