Mrs Laura Elise Juarez, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Tulsa, Oklahoma. Her current practice location is
1265 S Utica Ave Ste 105, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 592-0999.
Mrs Laura Elise Juarez is licensed to practice in California (license number 56826) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407398639.
Physician's Profile
| Full Name | Mrs Laura Elise Juarez |
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| Gender | Female |
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| Speciality | Physician Assistant - Surgical |
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| Location | 1265 S Utica Ave Ste 105, Tulsa, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407398639
- Provider Enumeration Date: 11/04/2016
- Last Update Date: 01/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577838499
- Enrollment ID: I20171003006036
Medical Identifiers
Medical identifiers for Mrs Laura Elise Juarez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407398639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 000919 (Puerto Rico) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (Utah) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 4749 (Oklahoma) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 56826 (California) | 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. Mrs Laura Elise Juarez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Laura Elise Juarez, PA-C Po Box 615, Dorado, PR 00646-0615 Ph: (801) 362-6791 | Mrs Laura Elise Juarez, PA-C 1265 S Utica Ave Ste 105, Tulsa, OK 74104-4243 Ph: (918) 592-0999 |
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