| Kelsey Gonzales, | |
|
1145 S Utica Ave Ste 365, Tulsa, OK 74104-4004 | |
| (918) 728-3354 | |
| Not Available |
| Full Name | Kelsey Gonzales |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 1145 S Utica Ave Ste 365, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912558271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9121468 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 4527 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Council Oak Comprehensive Healthcare | Tulsa, OK | Hospital |
| Creek Nation Community Hospital | Okemah, OK | Hospital |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | Hospital |
| Hillcrest Hospital Claremore | Claremore, OK | Hospital |
| Hillcrest Hospital South | Tulsa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creek Nation Hospital And Clinics | 5698786226 | 364 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467053173 PECOS PAC ID: 5698786226 Enrollment ID: O20210226001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Gonzales, 4705 S 129th East Ave, Tulsa, OK 74134-7005 Ph: (918) 727-2797 | Kelsey Gonzales, 1145 S Utica Ave Ste 365, Tulsa, OK 74104-4004 Ph: (918) 728-3354 |
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 |