Dr Joanna Omega Shadlow, PHD in Tulsa, OK - Medicare Psychologist Provider

Dr Joanna Omega Shadlow, PHD is a medicare enrolled "Psychologist" provider in Tulsa, Oklahoma. Her current practice location is 550 S Peoria Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 588-1900.

Dr Joanna Omega Shadlow is licensed to practice in Oklahoma (license number 1172) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316123946.

Contact Information

	Dr Joanna Omega Shadlow, PHD
	550 S Peoria Ave, Tulsa, OK 74120-3820
	(918) 588-1900
	(918) 582-6405

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Joanna Omega Shadlow
Gender	Female
Speciality	Psychologist
Location	550 S Peoria Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316123946
Provider Enumeration Date: 01/14/2008
Last Update Date: 06/18/2015

Medicare PECOS Information:

PECOS PAC ID: 9335465921
Enrollment ID: I20150225001233

Medical Identifiers

Medical identifiers for Dr Joanna Omega Shadlow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316123946	NPI	-	NPPES
100732910-G	Other	OK	GROUP MEDICAID/SOONERCARE
73-1042545	Other	OK	GROUP COMMUNITY CARE OF OKLAHOMA
73-1042545	Other	OK	GROUP MEDICARE
73-1042545	Other	OK	GROUP BCBS
731042545001	Other	OK	GROUP TRICARE
100732910-A	Other	OK	GROUP MEDICAID/SOONERCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1172 (Oklahoma)	Primary

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. Dr Joanna Omega Shadlow allows following entities to bill medicare on her behalf.

Entity Name	Indian Health Care Resource Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427034958 PECOS PAC ID: 0042117590 Enrollment ID: O20031215000264

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. Dr Joanna Omega Shadlow 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 Address	Practice Location Address
Dr Joanna Omega Shadlow, PHD 550 S Peoria Ave, Tulsa, OK 74120-3820 Ph: (918) 588-1900	Dr Joanna Omega Shadlow, PHD 550 S Peoria Ave, Tulsa, OK 74120-3820 Ph: (918) 588-1900

Reviews and Comments

Psychologist in Tulsa, OK

Mrs. Elisabeth Ann Pasco-burke, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 6440 S Lewis Ave Ste 2200, Tulsa, OK 74136 Phone: 888-882-0859 Fax: 918-388-9708
Kasey Renee Claborn, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 S Peoria Ave, Tulsa, OK 74120 Phone: 918-588-1900 Fax: 918-582-6405
Dr. William B. Berman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6846 S Canton Ave Ste 501, Tulsa, OK 74136 Phone: 918-745-0095 Fax: 918-745-0190
Dr. Peter Charles Ciali, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10159 E 11th St, Suite 100, Tulsa, OK 74128 Phone: 918-610-2000 Fax: 918-835-5760
Dr. Dennis Andrew Tomlinson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4036 E 103rd St, Tulsa, OK 74137 Phone: 918-299-5811 Fax: 918-299-5811
Dr. John Stewart Ii, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5100 E Skelly Dr Ste 130, Tulsa, OK 74135 Phone: 918-732-9155 Fax: 918-550-8088
Dr. Stephen Grissom, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3736 E 82nd Pl, Tulsa, OK 74137 Phone: 918-899-1393

Dr Joanna Omega Shadlow, PHD - Medicare Psychologist in Tulsa, OK