Mr Steven C Petticrew, PA-C in Tulsa, OK

Mr Steven C Petticrew, PA-C is a Physician Assistant - Medical based in Tulsa, Oklahoma. Mr Steven C Petticrew is licensed to practice in Oklahoma (license number 1485) and his current practice location is 2811 E 15th St Ste 102, Tulsa, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (918) 935-3240.

NPI number for Mr Steven C Petticrew is 1154499374 and his current mailing address is 2811 E 15th St Ste 102, Tulsa, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154499374.

Contact Information

	Mr Steven C Petticrew, PA-C
	2811 E 15th St Ste 102, Tulsa, OK 74104-5242
	(918) 935-3240
	(918) 935-3241

Map and Direction

Provider's Profile

Full Name	Mr Steven C Petticrew
Gender	Male
Speciality	Physician Assistant - Medical
Location	2811 E 15th St Ste 102, Tulsa, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1154499374
Provider Enumeration Date: 12/04/2006
Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Mr Steven C Petticrew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154499374	NPI	-	NPPES
100006600A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1485 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Steven C Petticrew is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Steven C Petticrew, PA-C 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 Ph: (918) 935-3240	Mr Steven C Petticrew, PA-C 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 Ph: (918) 935-3240

Reviews and Comments

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Mr Steven C Petticrew, PA-C - Physician Assistant in Tulsa, OK