| Beyond Primary Care | |
|
3202 S Memorial Dr Ste 9 Tulsa OK 74145-1323 | |
| (918) 221-0335 | |
| Not Available |
| Full Name | Beyond Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 3202 S Memorial Dr Ste 9, Tulsa, Oklahoma |
| Authorized Official Name and Position | Paige Wilson (HEALTHCARE ADMINISTRATOR) |
| Authorized Official Contact | 9182210335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Primary Care 3202 S Memorial Dr Ste 9 Tulsa OK 74145-1323 Ph: (918) 221-0335 | Beyond Primary Care 3202 S Memorial Dr Ste 9 Tulsa OK 74145-1323 Ph: (918) 221-0335 |
| NPI Number | 1982422309 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Medicare PECOS PAC ID | 2365968823 |
|---|---|
| Medicare Enrollment ID | O20250428002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982422309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Larissa Faye Giuliano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033409271 PECOS PAC ID: 3476771924 Enrollment ID: I20140826001416 |
| Provider Name | John Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962634535 PECOS PAC ID: 6901027812 Enrollment ID: I20141017001471 |
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