| Rebecca C Shepard, PA-C | |
|
402 W Morrow Rd, Sand Springs, OK 74063-6549 | |
| (918) 245-1328 | |
| (918) 293-3181 |
| Full Name | Rebecca C Shepard |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 402 W Morrow Rd, Sand Springs, 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 |
|---|---|---|---|
| 1922093384 | NPI | - | NPPES |
| 200024950B | Medicaid | OK | |
| 200024950A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA1291 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Medical Center | Tulsa, OK | Hospital |
| Ascension St John Sapulpa | Sapulpa, OK | Hospital |
| Ascension St John Owasso | Owasso, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Omni Medical Group Inc | 9739080490 | 82 |
| 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 | Omni Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174578249 PECOS PAC ID: 9739080490 Enrollment ID: O20040115000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca C Shepard, PA-C 402 W Morrow Rd, Sand Springs, OK 74063-6549 Ph: (918) 245-1328 | Rebecca C Shepard, PA-C 402 W Morrow Rd, Sand Springs, OK 74063-6549 Ph: (918) 245-1328 |
Mr. Jim Edward Mckinney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 102 S Main St, Sand Springs, OK 74063 Phone: 918-245-2286 Fax: 918-241-4366 |
Carol Diane Wink, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 W Morrow Rd, Sand Springs, OK 74063 Phone: 918-295-1328 Fax: 918-403-6313 |