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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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JARRELL, JERRY BRAD       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC.
1223 SWAN DRIVE
BARTLESVILLE OK 74006-5037

Address last updated on 6/17/2024
Phone #: (918) 214-8081
Fax #: (918) 333-0734
County: WASHINGTON
License: 12820
Dated: 7/25/1980
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1979
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Hospice and Palliative Medicine
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Champ VA
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
Health Smart Preferred Care (HSPC)
HealthChoice
Humana Medicare Advantage PPO
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Railroad Medicare
SoonerCare PPO
Tricare for Life
United Healthcare Choice
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
Locations: Hours: Languages:
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC.
1223 SWAN DRIVE
BARTLESVILLE OK 74006-5037

Phone #: (918) 214-8081
Fax #: (918) 333-0734
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RHONDA MICHELLE LINE PA 803

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