| Monica Broussard, PA - C | |
|
6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823 | |
| (918) 502-8810 | |
| Not Available |
| Full Name | Monica Broussard |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 6465 S Yale Ave, 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 |
|---|---|---|---|
| 1376960799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2365 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hillcrest Hospital South | Tulsa, OK | Hospital |
| Bailey Medical Center, Llc | Owasso, OK | Hospital |
| Hillcrest Medical Center | Tulsa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahs Oklahoma Physician Group Llc | 9436122496 | 314 |
| Entity Name | Neurological Surgery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063401180 PECOS PAC ID: 2860472818 Enrollment ID: O20040721001138 |
| Entity Name | Ahs Oklahoma Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
| Entity Name | Premier Orthopedic Specialists of Tulsa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902349384 PECOS PAC ID: 4385927615 Enrollment ID: O20170213001341 |
| Mailing Address | Practice Location Address |
|---|---|
| Monica Broussard, PA - C 6767 South Yale Avenue, Suite A, Tulsa, OK 74136 Ph: Not Available | Monica Broussard, PA - C 6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823 Ph: (918) 502-8810 |
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 |