Sally J Pendergrass, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tulsa, OK

Sally J Pendergrass, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tulsa, Oklahoma. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Olympia Anesthesia Plc and her current practice location is 1923 S Utica Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 744-2345.

Sally J Pendergrass is licensed to practice in Oklahoma (license number R0050582) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740427178.

Contact Information

Sally J Pendergrass, CRNA
1923 S Utica Ave,
Tulsa, OK 74104-6520
(918) 744-2345
Not Available

Map and Direction




Provider's Profile

Full NameSally J Pendergrass
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location1923 S Utica Ave, Tulsa, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sally J Pendergrass graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1740427178
  • Provider Enumeration Date: 01/07/2009
  • Last Update Date: 08/25/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 7618032962
  • Enrollment ID: I20090219000568

Medical Identifiers

Medical identifiers for Sally J Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740427178NPI-NPPES
200232940AMedicaidOK
P00731722OtherOKRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R0050582 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tulsa Spine & Specialty HospitalTulsa, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Olympia Anesthesia Plc539576760214

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sally J Pendergrass allows following entities to bill medicare on her behalf.
Entity NameOlympia Anesthesia Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205841186
PECOS PAC ID: 5395767602
Enrollment ID: O20051230000221
Entity NameSt. John Anesthesia Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265446579
PECOS PAC ID: 4789607938
Enrollment ID: O20060113000295

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. Sally J Pendergrass is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sally J Pendergrass, CRNA
4500 S Garnett Rd, Suite 300,
Tulsa, OK 74146-5229

Ph: (918) 664-9892
Sally J Pendergrass, CRNA
1923 S Utica Ave,
Tulsa, OK 74104-6520

Ph: (918) 744-2345

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tulsa, OK

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.