| Tyler Woods, | |
|
3219 S 79th East Ave, Tulsa, OK 74145-1343 | |
| (918) 663-8183 | |
| (918) 660-5398 |
| Full Name | Tyler Woods |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3219 S 79th East Ave, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013491141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 113279 (Oklahoma) | Primary |
| 363L00000X | Nurse Practitioner | R0113279 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Rehab Hospital Of Broken Arrow | Broken arrow, OK | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paradigm Wound Specialists Llc | 4284086828 | 12 |
| Entity Name | Muskogee Medical Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629368105 PECOS PAC ID: 8628247012 Enrollment ID: O20110801000243 |
| Entity Name | Urgent Care of Muskogee PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740678622 PECOS PAC ID: 5698090926 Enrollment ID: O20150209001646 |
| Entity Name | Paradigm Wound Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326818329 PECOS PAC ID: 4284086828 Enrollment ID: O20240118003228 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Woods, 1029 W 88th St S, Tulsa, OK 74132-3473 Ph: (214) 886-5020 | Tyler Woods, 3219 S 79th East Ave, Tulsa, OK 74145-1343 Ph: (918) 663-8183 |
Jennifer Christa Pimentel, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 S Yale Ave Ste 209, Tulsa, OK 74136 Phone: 918-392-4550 Fax: 918-392-4551 |
Casie Nicole Brim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1919 S Wheeling Ave, Suite 606, Tulsa, OK 74104 Phone: 918-748-7676 Fax: 918-293-3130 |
Jared Qualls, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Suite 460, Tulsa, OK 74104 Phone: 918-579-5749 Fax: 918-579-5762 |
Daniel Aaron Lee, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2448 E 81st St Ste 1100, Tulsa, OK 74137 Phone: 918-505-3400 Fax: 918-508-7070 |
Adekemi Taiwo, APRN - CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 Phone: 918-615-3750 |
Stephanie Ann Adame, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200 |
Mrs. Susan Elaine Brandt, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2408 E 81st St Ste 900, Tulsa, OK 74137 Phone: 918-319-5021 Fax: 918-477-5853 |