| Thomas Frasier Engle, PA-C | |
|
1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | |
| (918) 748-7557 | |
| (918) 748-7514 |
| Full Name | Thomas Frasier Engle |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1717 S Utica Ave Ste A, Tulsa, Oklahoma |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124265764 | NPI | - | NPPES |
| 200230740A | Medicaid | OK | |
| 1786 | Other | OK | OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1786 (Oklahoma) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1786 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pawhuska Hospital, Inc | Pawhuska, OK | Hospital |
| Seiling Municipal Hospital | Seiling, OK | Hospital |
| Mercy Hospital Kingfisher, Inc | Kingfisher, OK | Hospital |
| Stillwater Medical - Perry | Perry, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pawhuska Hospital Inc | 7012906548 | 13 |
| Seiling Municipal Hospital Authority | 9830189059 | 16 |
| Cah Acquisition Company 9 Llc | 0941354823 | 15 |
| 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 | Pawhuska Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174521991 PECOS PAC ID: 7012906548 Enrollment ID: O20040510001389 |
| Entity Name | Alva Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679684682 PECOS PAC ID: 5597755306 Enrollment ID: O20040514000014 |
| Entity Name | Nes Oklahoma, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528040722 PECOS PAC ID: 1456264324 Enrollment ID: O20040726000516 |
| Entity Name | Carnegie Tri-county Municipal Hospital Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275657017 PECOS PAC ID: 6800835935 Enrollment ID: O20050429000480 |
| Entity Name | St John Urgent Care Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003918830 PECOS PAC ID: 5890898084 Enrollment ID: O20070308000190 |
| Entity Name | Pawhuska Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1174521991 PECOS PAC ID: 7012906548 Enrollment ID: O20080425000593 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Emergency Services of Oklahoma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | South Central Emergency Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Entity Name | Mercy Hospital Kingfisher, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083048417 PECOS PAC ID: 5395970180 Enrollment ID: O20131104000084 |
| Entity Name | Emergency Physicians of Mid-america PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
| Entity Name | Seiling Municipal Hospital Authority |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740698109 PECOS PAC ID: 9830189059 Enrollment ID: O20141105001667 |
| Entity Name | Seiling Municipal Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942757554 PECOS PAC ID: 9830189059 Enrollment ID: O20161109001174 |
| Entity Name | Mercy Hospital Tishomingo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972809002 PECOS PAC ID: 1557542032 Enrollment ID: O20180507002045 |
| Entity Name | Prague Healthcare Authority |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1750527768 PECOS PAC ID: 8123435187 Enrollment ID: O20210318002639 |
| Entity Name | Prague Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851537096 PECOS PAC ID: 8123435187 Enrollment ID: O20210524002299 |
| Entity Name | Bradley Bibb MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194572040 PECOS PAC ID: 4789715285 Enrollment ID: O20240520001147 |
| Entity Name | Exceptional Physicians Group Ardmore Hospital PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588427462 PECOS PAC ID: 8921542622 Enrollment ID: O20240705002168 |
| Entity Name | Ies ER Oklahoma LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447148093 PECOS PAC ID: 5395234678 Enrollment ID: O20251028001154 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Frasier Engle, PA-C 1515 N Harvard Ave, Ste E, Tulsa, OK 74115-4957 Ph: (918) 832-6049 | Thomas Frasier Engle, PA-C 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 Ph: (918) 748-7557 |
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 |