| Stuart Andrew Jack, | |
|
4502 E 41st St, Tulsa, OK 74135-2536 | |
| (918) 619-4400 | |
| Not Available |
| Full Name | Stuart Andrew Jack |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 5 Years |
| Location | 4502 E 41st St, 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 |
|---|---|---|---|
| 1255950713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME167093 (Florida) | Primary |
| 207R00000X | Internal Medicine | 35968 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth North Pinellas | Tarpon springs, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Physician Group Inc | 2365679057 | 631 |
| Entity Name | Adventist Health System-sunbelt Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083692594 PECOS PAC ID: 0749232445 Enrollment ID: O20080401000861 |
| Entity Name | Adventist Health System-sunbelt Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578725941 PECOS PAC ID: 0749232445 Enrollment ID: O20080726000012 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart Andrew Jack, 3704 E 67th St, Tulsa, OK 74136-2821 Ph: (913) 708-0434 | Stuart Andrew Jack, 4502 E 41st St, Tulsa, OK 74135-2536 Ph: (918) 619-4400 |
Sarah Anne Shaw-dressler, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578 | |
Julia Margaret Kwon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539 | |
Peter Madden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 | |
Thao Tran, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400 | |
Prasoonkumar Yendluri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-502-1900 Fax: 918-494-6303 | |
Robert Peter Aran, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365 | |
Robert Dean Okada, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455 |