| Dr Justin Lalthawmpuia Sailo, DO | |
|
7600 S Lewis Ave, Tulsa, OK 74136-6836 | |
| (539) 399-3410 | |
| (539) 399-3429 |
| Full Name | Dr Justin Lalthawmpuia Sailo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 7600 S Lewis Ave, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295318152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | V6390 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 7760 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kelsey-seybold Medical Group, Pllc | 9739093527 | 928 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467053173 PECOS PAC ID: 5698786226 Enrollment ID: O20210226001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Lalthawmpuia Sailo, DO 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Dr Justin Lalthawmpuia Sailo, DO 7600 S Lewis Ave, Tulsa, OK 74136-6836 Ph: (539) 399-3410 |
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 Fax: 918-992-2822 |