| Gannon Frederick Gill, PA | |
|
6475 S Yale Ave Ste 200, Tulsa, OK 74136-7816 | |
| (918) 494-4460 | |
| (918) 502-3468 |
| Full Name | Gannon Frederick Gill |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 6475 S Yale Ave Ste 200, 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 |
|---|---|---|---|
| 1972808327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1950 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Medical Center | Tulsa, OK | Hospital |
| Ascension St John Owasso | Owasso, OK | Hospital |
| Ascension St John Broken Arrow | Broken arrow, OK | Hospital |
| Ascension St John Sapulpa | Sapulpa, OK | Hospital |
| Ascension St John Jane Phillips | Bartlesville, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. John Physicians, Inc. | 2567366495 | 262 |
| St John Urgent Care Clinics Inc | 5890898084 | 29 |
| Entity Name | Warren Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
| 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 | St John Urgent Care Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003918830 PECOS PAC ID: 5890898084 Enrollment ID: O20070308000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Gannon Frederick Gill, PA 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: (882) 470-1258 | Gannon Frederick Gill, PA 6475 S Yale Ave Ste 200, Tulsa, OK 74136-7816 Ph: (918) 494-4460 |
Jessica Lee Luetkemeyer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1111 S Saint Louis Ave, Tulsa, OK 74120 Phone: 918-619-4400 Fax: 918-619-4696 |
Emily Ann Carter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6160 S Yale Ave, Tulsa, OK 74136 Phone: 918-495-2600 Fax: 918-497-3007 |
Mrs. Anne Claire Edmonds, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6565 S Yale Ave Ste 1200, Tulsa, OK 74136 Phone: 918-502-3376 Fax: 918-502-3375 |
Erin Haley Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6475 S Yale Ave Ste 401, Tulsa, OK 74136 Phone: 918-502-9555 Fax: 918-502-9559 |
Summer R Winger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11912 S Norwood Ave Ste 110, Tulsa, OK 74137 Phone: 918-943-5303 |
Laura Kerr, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104 Phone: 918-748-8381 |
Tara Linville, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6565 S Yale Ave Ste 1200, Tulsa, OK 74136 Phone: 918-502-3376 Fax: 918-502-3375 |