Stacy Philip, MD in Tulsa, OK - Medicare Family Practice

Stacy Philip, MD is a medicare enrolled "Family Medicine" physician in Tulsa, Oklahoma. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Wagoner Hospital Authority, Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin and her current practice location is 3138 S Garnett Rd, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 203-7005.

Stacy Philip is licensed to practice in Oklahoma (license number 38292) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366025207.

Contact Information

	Stacy Philip, MD
	3138 S Garnett Rd, Tulsa, OK 74146-1933
	(918) 203-7005
	(918) 400-0967

Map and Direction

Physician's Profile

Full Name	Stacy Philip
Gender	Female
Speciality	Family Practice
Experience	4 Years
Location	3138 S Garnett Rd, Tulsa, 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.

Medical Education and Training:

Stacy Philip attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2021

NPI Data:

NPI Number: 1366025207
Provider Enumeration Date: 04/29/2021
Last Update Date: 05/23/2025

Medicare PECOS Information:

PECOS PAC ID: 9830561992
Enrollment ID: I20230217002784

Medical Identifiers

Medical identifiers for Stacy Philip such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366025207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	38292 (Oklahoma)	Secondary
207Q00000X	Family Medicine	38292 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wagoner Hospital Authority	0042217531	19
Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin	1557271202	60

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Philip allows following entities to bill medicare on her behalf.

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

Entity Name	Wagoner Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386611580 PECOS PAC ID: 0042217531 Enrollment ID: O20061214000095

Entity Name	Archwell Health Professional Services Of Oklahoma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457934895 PECOS PAC ID: 6608272638 Enrollment ID: O20210831000931

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. Stacy Philip 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
Stacy Philip, MD 1200 W Cherokee St, Wagoner, OK 74467-4624 Ph: (918) 485-5514	Stacy Philip, MD 3138 S Garnett Rd, Tulsa, OK 74146-1933 Ph: (918) 203-7005

Reviews and Comments

Family Medicine Doctors in Tulsa, OK

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

Stacy Philip, MD - Medicare Family Practice in Tulsa, OK