| Stephanie Russell, PA | |
|
8115 S Memorial Dr, Tulsa, OK 74133-4331 | |
| (918) 254-6315 | |
| (918) 403-6315 |
| Full Name | Stephanie Russell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 8115 S Memorial Dr, Tulsa, 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 |
|---|---|---|---|
| 1235199118 | NPI | - | NPPES |
| 100740390A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 932 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Medical Center | Tulsa, OK | Hospital |
| Ascension St John Broken Arrow | Broken arrow, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Omni Medical Group Inc | 9739080490 | 82 |
| 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 |
| Entity Name | Womens Health Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407941149 PECOS PAC ID: 0941284848 Enrollment ID: O20040617000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Russell, PA 3805 S Dogwood Blvd, Broken Arrow, OK 74011-1769 Ph: (918) 724-4563 | Stephanie Russell, PA 8115 S Memorial Dr, Tulsa, OK 74133-4331 Ph: (918) 254-6315 |
Jessica Lee Luetkemeyer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1111 S Saint Louis Ave, Tulsa, OK 74120 Phone: 918-619-4400 Fax: 918-619-4696 |
Emily Ann Carter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6160 S Yale Ave, Tulsa, OK 74136 Phone: 918-495-2600 Fax: 918-497-3007 |
Mrs. Anne Claire Edmonds, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6565 S Yale Ave Ste 1200, Tulsa, OK 74136 Phone: 918-502-3376 Fax: 918-502-3375 |
Erin Haley Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6475 S Yale Ave Ste 401, Tulsa, OK 74136 Phone: 918-502-9555 Fax: 918-502-9559 |
Summer R Winger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11912 S Norwood Ave Ste 110, Tulsa, OK 74137 Phone: 918-943-5303 |
Laura Kerr, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104 Phone: 918-748-8381 |
Tara Linville, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6565 S Yale Ave Ste 1200, Tulsa, OK 74136 Phone: 918-502-3376 Fax: 918-502-3375 |