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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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BARRETT, PENNI ALYCE       
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: No Current Practice Address
Address last updated on 6/27/2022
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17770
Dated: 7/1/1991
Expires: 7/1/2022
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Southern Il Univ Sch Of Med, Springfield Il 62794
Graduated: 5 / 1986
CME Year: 2024
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health)
BCE Emergis
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
First Health
Global Health HMO
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
Oklahoma Health Network PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Perfect Harmony HMO
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Sparks Premiercare
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
USA Managed Care
Welcor/Sooner
Worknet of Oklahoma
Hospital Privileges: St. Francis Hospital
Tulsa, OK
St. Francis Hospital - Broken Arrow
Broken Arrow, OK
St. Francis Hospital Vinita (fmly Craig General Hospital)
Vinita, OK
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
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Tue:
Wed:
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