JACQUELINE PETRAY M.D. – NPI #1548200751
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

JACQUELINE PETRAY is a physician located in TULSA, OK. NPPES has assigned the NPI number 1548200751 to JACQUELINE PETRAY on June 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 3 years ago on Nov 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACQUELINE PETRAY below.

NPI Profile for
JACQUELINE PETRAY

NPI Number
1548200751
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACQUELINE PETRAY
Credentials
M.D.
Primary location
6565 S YALE AVE STE 312
TULSA, OK 74136-8304
Phone: (918) 502-7050 Fax: (918) 502-7055
1 Other location(s):
13600 E 86th St N
100
Owasso, OK 74055-8731
Phone: (918) 272-9313
Fax: (918) 293-3117
Mailing address
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone: (888) 247-0125 Fax: (918) 832-6055
Sole Proprietor
No
Updated
Certification Date
Nov 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JACQUELINE PETRAY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOK1000074870A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 OK 16104

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE - Graduated 1986
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACQUELINE PETRAY is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION ST JOHN BROKEN ARROW
      1000 WEST BOISE CIRCLE
      BROKEN ARROW, OK 74012
    • ASCENSION ST JOHN MEDICAL CENTER
      1923 SOUTH UTICA AVENUE
      TULSA, OK 74104
    • SAINT FRANCIS HOSPITAL, INC
      6161 SOUTH YALE
      TULSA, OK 74136
    • ST JOHN OWASSO
      12451 EAST 100TH STREET NORTH
      OWASSO, OK 74055
  • HOME HEALTH AGENCY
    • ASCENSION AT HOME - TULSA
      4612 S. HARVARD AVE., SUITE C
      TULSA, OK 74135
    • ENHABIT HOME HEALTH OF NORTHEAST OKLAHOMA
      1913 WEST TACOMA STREET, SUITE G-H
      BROKEN ARROW, OK 74012

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