| Hallie Frederick, DO | |
|
1111 W 17th St, Tulsa, OK 74107-1886 | |
| (918) 582-1972 | |
| Not Available |
| Full Name | Hallie Frederick |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1111 W 17th 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 |
|---|---|---|---|
| 1316575913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7297 (Oklahoma) | Primary |
| Entity Name | Osumc Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922325992 PECOS PAC ID: 9234254012 Enrollment ID: O20100916000969 |
| Entity Name | Oklahoma State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700994878 PECOS PAC ID: 2769739358 Enrollment ID: O20180730000192 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210505002298 |
| Mailing Address | Practice Location Address |
|---|---|
| Hallie Frederick, DO 1111 W 17th St, Tulsa, OK 74107-1886 Ph: () - | Hallie Frederick, DO 1111 W 17th St, Tulsa, OK 74107-1886 Ph: (918) 582-1972 |
Sarah Anne Shaw-dressler, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578 | |
Julia Margaret Kwon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539 | |
Peter Madden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 | |
Thao Tran, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400 | |
Prasoonkumar Yendluri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-502-1900 Fax: 918-494-6303 | |
Robert Peter Aran, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365 | |
Robert Dean Okada, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455 |