| Kyle Wertzberger, PA-C | |
|
8803 S 101st East Ave Ste 100, Tulsa, OK 74133-7546 | |
| (918) 579-0220 | |
| (918) 579-2309 |
| Full Name | Kyle Wertzberger |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 8803 S 101st East Ave Ste 100, 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 |
|---|---|---|---|
| 1952731200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2326 (Oklahoma) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2326 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Medical Center | Tulsa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Radiology Pllc | 8628332061 | 217 |
| 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 | Tulsa Radiology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871574509 PECOS PAC ID: 1658260492 Enrollment ID: O20040505000680 |
| Entity Name | Norman Radiology Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326039645 PECOS PAC ID: 2466496641 Enrollment ID: O20050617000884 |
| Entity Name | Integris Cardiovascular Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306129598 PECOS PAC ID: 3577730068 Enrollment ID: O20120207000415 |
| Entity Name | Concord Radiology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598260515 PECOS PAC ID: 8628332061 Enrollment ID: O20230531002311 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Wertzberger, PA-C 1145 S Utica Ave Ste 110, Tulsa, OK 74104-4013 Ph: (918) 579-3825 | Kyle Wertzberger, PA-C 8803 S 101st East Ave Ste 100, Tulsa, OK 74133-7546 Ph: (918) 579-0220 |
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 |