| Shawn D Grant, MD | |
|
1120 S Utica Ave, Tulsa, OK 74104-4012 | |
| (918) 579-7720 | |
| Not Available |
| Full Name | Shawn D Grant |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 1120 S Utica 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 |
|---|---|---|---|
| 1043214497 | NPI | - | NPPES |
| 200513800 | Medicaid | IN | |
| 64110307 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | 38822 (Kentucky) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 38822 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| St Mary's Regional Medical Center | Enid, OK | Hospital |
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| Northeastern Health System | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Diagnostic Imaging Associates Inc | 8820083645 | 70 |
| Choctaw Nation Of Oklahoma | 1759294838 | 254 |
| Clinton Indian Health Center | 2163324237 | 44 |
| Pawnee Indian Health Center | 2769470160 | 59 |
| Pine Ridge Indian Health Service Hospital | 4688571326 | 85 |
| Zuni Indian Hospital | 5698689644 | 41 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Cherokee Nation | 5799698742 | 369 |
| Lawton Indian Hospital | 6406800234 | 107 |
| Wewoka Indian Health | 7517911415 | 36 |
| Albuquerque Indian Health Center | 7719883164 | 40 |
| Anadarko Indian Health Center | 7719931559 | 33 |
| Entity Name | Tulsa X-ray Laboratory Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144211582 PECOS PAC ID: 4183537426 Enrollment ID: O20031111000899 |
| Entity Name | Diagnostic Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427049956 PECOS PAC ID: 8820083645 Enrollment ID: O20040420000018 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Entity Name | Panhandle Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104018571 PECOS PAC ID: 7315033669 Enrollment ID: O20071017000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn D Grant, MD Po Box 52750, Knoxville, TN 37950-2750 Ph: (865) 766-8897 | Shawn D Grant, MD 1120 S Utica Ave, Tulsa, OK 74104-4012 Ph: (918) 579-7720 |
Jonathan Cross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552 | |
Dr. Kim R Hauger, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552 | |
Nina Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 4500 S Garnett Rd Ste 300, Tulsa, OK 74146 Phone: 918-728-6194 | |
Dr. Leila Danielle See, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 744 W 9th St, Tulsa, OK 74127 Phone: 981-599-5031 | |
Christopher Roman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 S Garnett Rd Ste 112, Tulsa, OK 74146 Phone: 918-935-3550 | |
Dr. Erik Edward Paulson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-934-8347 Fax: 918-743-8552 | |
Dr. Phillip Osborn Flinn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-934-8347 Fax: 918-743-8552 |