Tammy Sue Wagoner, - Medicare Physical Therapist in Tulsa, OK

Tammy Sue Wagoner, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Tulsa, Oklahoma. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Tulsa Bone And Joint Associates Pc and her current practice location is 4802 S 109th East Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 392-1513.

Tammy Sue Wagoner is licensed to practice in Oklahoma (license number 2175) 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 1174278527.

Contact Information

Tammy Sue Wagoner,
4802 S 109th East Ave,
Tulsa, OK 74146-5822
(918) 392-1513
(918) 392-1488

Map and Direction




Healthcare Provider's Profile

Full NameTammy Sue Wagoner
GenderFemale
SpecialityPhysical Therapy
Experience30 Years
Location4802 S 109th East 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:
  • Tammy Sue Wagoner graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1174278527
  • Provider Enumeration Date: 02/15/2022
  • Last Update Date: 02/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062807001
  • Enrollment ID: I20220310000010

Medical Identifiers

Medical identifiers for Tammy Sue Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174278527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 2175 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tulsa Bone And Joint Associates Pc933503380270

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. Tammy Sue Wagoner allows following entities to bill medicare on her behalf.
Provider NameTulsa Bone & Joint Associates Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154373132
PECOS PAC ID: 9335033802
Enrollment ID: O20040214000207

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. Tammy Sue Wagoner 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
Tammy Sue Wagoner,
4802 S 109th East Ave,
Tulsa, OK 74146-5822

Ph: (918) 392-1513
Tammy Sue Wagoner,
4802 S 109th East Ave,
Tulsa, OK 74146-5822

Ph: (918) 392-1513

Reviews and Comments


Physical Therapist in Tulsa, OK

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Phone: 918-384-0088    Fax: 918-384-0044
Johnathan William Barber, D.P.T.
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Practice Location: 7401 Riverside Pkwy Unit 219, Tulsa, OK 74136
Phone: 918-216-9303    

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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.

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