| Mindi Marie Bull, DO | |
|
800 W Boise Cir, Ste 150, Broken Arrow, OK 74012-4906 | |
| (918) 994-9150 | |
| (918) 403-6323 |
| Full Name | Mindi Marie Bull |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 20 Years |
| Location | 800 W Boise Cir, Broken Arrow, 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 |
|---|---|---|---|
| 1891859856 | NPI | - | NPPES |
| 200101160A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 4384 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Broken Arrow | Broken arrow, OK | Hospital |
| St John Medical Center, Inc | Tulsa, OK | Hospital |
| St John Owasso | Owasso, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St John Physicians Inc | 2567366495 | 216 |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindi Marie Bull, DO 800 W Boise Cir, Ste 150, Broken Arrow, OK 74012-4906 Ph: (918) 994-9150 | Mindi Marie Bull, DO 800 W Boise Cir, Ste 150, Broken Arrow, OK 74012-4906 Ph: (918) 994-9150 |
Dr. Bradley Russell Mons, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 411 Stone Wood Dr, Broken Arrow, OK 74012 Phone: 918-924-6275 Fax: 918-518-7563 | |
Dr. Caleb Eugene Burrows, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 800 W Boise Cir Ste 320, Broken Arrow, OK 74012 Phone: 918-994-9150 Fax: 918-403-6323 |