| Alexandra Millard, | |
|
1923 S Utica Ave, Tulsa, OK 74104-6520 | |
| (918) 744-3131 | |
| Not Available |
| Full Name | Alexandra Millard |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 1923 S Utica Ave, 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 |
|---|---|---|---|
| 1205571742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 32698218 (Oklahoma) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | St. John Anesthesia Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
| Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Millard, 320 Lions Head Dr, Monument, CO 80132-9459 Ph: () - | Alexandra Millard, 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 744-3131 |
Christopher Vincent Pollio, AA-C Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-2200 | |
Trayston Frazier, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 187-775-8169 | |
Mark D Morrow, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-0612 | |
Tylor Charles O'neill, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-3131 | |
Tricia L Vowell, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-3118 Fax: 918-744-2946 | |
Hannah Chadick, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2345 |