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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

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PETRAY, JACQUELINE MARIE       
Practice Address: 6565 SOUTH YALE
KELLY BUILDING
SUITE 312
TULSA OK 74136

Address last updated on 6/2/2024
Phone #: (918) 502-7050
Fax #: (918) 502-7055
County: TULSA
License: 16104
Dated: 7/1/1987
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 AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1986
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:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
Coventry Health Care National Network
First Health
HealthChoice
Medicare Blue
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
Tricare Standard
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
6565 SOUTH YALE
KELLY BUILDING
SUITE 312
TULSA OK 74136

Phone #: (918) 502-7050
Fax #: (918) 502-7055
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 2:00PM
Sat: NO SATURDAY HRS
Sun: NO SUNDAY HRS
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SARAH ELIZABETH KELLY PA 1428

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