Prashanth S Iyer, MD | |
1919 S Wheeling Ave Ste 105, Tulsa, OK 74104-5638 | |
(918) 749-6400 | |
(918) 749-2168 |
Full Name | Prashanth S Iyer |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 1919 S Wheeling Ave Ste 105, 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 |
---|---|---|---|
1710417092 | NPI | - | NPPES |
201100560A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 39831 (Oklahoma) | Primary |
Entity Name | Ahs Oklahoma Heart Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780857540 PECOS PAC ID: 4587737135 Enrollment ID: O20080716000032 |
Mailing Address | Practice Location Address |
---|---|
Prashanth S Iyer, MD 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 Ph: (918) 592-0999 | Prashanth S Iyer, MD 1919 S Wheeling Ave Ste 105, Tulsa, OK 74104-5638 Ph: (918) 749-6400 |
Alex Bryan Olsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1805 Fax: 918-494-4573 | |
Shelley Capehart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 900, Tulsa, OK 74136 Phone: 918-481-4800 Fax: 918-481-4826 | |
Charles Anthony Howard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-744-3523 Fax: 918-744-3463 | |
Peter Richard Nelson, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 4444 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 Fax: 918-619-4960 | |
Scott A Newbrough, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 Phone: 918-403-7070 Fax: 918-403-6327 | |
Dr. Susan A Rose, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1725 E 19th St, Suite 800, Tulsa, OK 74104 Phone: 918-301-2505 Fax: 918-301-3633 | |
Theresa Marie York, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 8801 S 101st East Ave, Tulsa, OK 74133 Phone: 918-294-4900 |