| Mr Travis James Buchanan, PA-C | |
|
4304 W Houston St, Broken Arrow, OK 74012-4519 | |
| (872) 231-3162 | |
| (702) 977-1496 |
| Full Name | Mr Travis James Buchanan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 4304 W Houston St, Broken Arrow, 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 |
|---|---|---|---|
| 1710281894 | NPI | - | NPPES |
| 1939 | Other | OK | OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION |
| 200319100A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1939 (Oklahoma) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 1939 (Oklahoma) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Rehab Consultants Llc | 7810184892 | 133 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Travis James Buchanan, PA-C Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Mr Travis James Buchanan, PA-C 4304 W Houston St, Broken Arrow, OK 74012-4519 Ph: (872) 231-3162 |
Mrs. Patricia Joyce Iven, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1130 E. Lansing, Broken Arrow, OK 74012 Phone: 918-258-9990 Fax: 918-251-9339 | |
Allison Griffiths, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 705 W Oakland St, Broken Arrow, OK 74012 Phone: 918-251-2666 | |
Anna Joy Cory, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4204 N Spruce Ave, Broken Arrow, OK 74012 Phone: 918-637-0377 | |
Molly Kate Mertz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1245 N Birch Ave, Broken Arrow, OK 74012 Phone: 918-294-3278 | |
Sally Alchammat, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1101 S Kalanchoe Ave, Broken Arrow, OK 74012 Phone: 918-698-4002 | |
Nour Mustafa, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2504 E Reno St, Broken Arrow, OK 74014 Phone: 918-406-8625 | |
Rebekah Dawn Newton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 421 Stone Wood Dr, Broken Arrow, OK 74012 Phone: 918-872-8822 Fax: 918-872-8823 |