| Ms Susan A Martin, CRNA | |
| 
					5807 S Delaware Ave, Tulsa, OK 74105-7329  | |
| (918) 742-2475 | |
| (918) 742-2194 | 
| Full Name | Ms Susan A Martin | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 5807 S Delaware Ave, Tulsa, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073515557 | NPI | - | NPPES | 
| 10078440A | Medicaid | OK | |
| 721545605 001 | Other | OK | BCBS # | 
| 010672601002 | Other | OK | BCBSOK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0072841 (Oklahoma) | Primary | 
| Entity Name | Sooner Anesthesia Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720080401 PECOS PAC ID: 7416919899 Enrollment ID: O20041028000361  | 
| Entity Name | Northstar Anesthesia Of Oklahoma, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357  | 
| Entity Name | Integral Anesthesia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881041515 PECOS PAC ID: 9638461973 Enrollment ID: O20160707001409  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Susan A Martin, CRNA 5807 S Delaware Ave, Tulsa, OK 74105-7329 Ph: (918) 742-2475  | Ms Susan A Martin, CRNA 5807 S Delaware Ave, Tulsa, OK 74105-7329 Ph: (918) 742-2475  | 
Mrs. Ashley Dinkel Westerman,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 S 109th East Ave, Tulsa, OK 74146 Phone: 918-392-1400  | |
Dr. Samuel Shyam Adhikari, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-0612  | |
Tara A Mccants, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362  | |
Wendy A. Watkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 S. Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-918-4150  | |
Clinton Alsup,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 800-939-7440  | |
Stan Allen Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 Fax: 918-481-5170  | |
Christopher Thomas Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 Fax: 806-356-2939  |