REVELIS, ANDREAS FRANK - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

REVELIS, ANDREAS FRANK

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:	PAIN MANAGEMENT OF TULSA 6802 S OLYMPIA AVE SUITE 100 TULSA OK 74132 Address last updated on 8/5/2024
Phone #:	(918) 447-9300
Fax #:	(918) 447-9308
County:	TULSA
License:	21829
Dated:	10/9/2000
Expires:	10/1/2025
License Type:	Medical Doctor
Specialty:	Anesthesiology Pain Management (Anesthesiology)

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 / 1996
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:	Yes
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 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 Focus Healthcare Global Health HMO Great West Healthcare HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Multiplan PPO National Preferred Provider Network (NPPN) OSMA Health (formerly Plico PPO) PHCS (Private Healthcare Systems) PPO Oklahoma Preferred Community Choice Railroad Medicare SoonerCare HMO Tricare for Life Tricare Standard UniCare Health Plans of Oklahoma United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS Worknet of Oklahoma
Hospital Privileges:	Ascension St. John Medical Center Tulsa, OK Hillcrest Hospital South (fmly SouthCrest) Tulsa, OK Hillcrest Medical Center Tulsa, OK Northeast Oklahoma Eye Institute Tulsa, OK Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma) Tulsa, OK Tulsa Spine & Specialty Hospital Tulsa, OK

Locations:	Hours:	Languages:
PAIN MANAGEMENT OF TULSA 6802 S OLYMPIA AVE SUITE 100 TULSA OK 74132 Phone #: (918) 447-9300 Fax #: (918) 447-9308	Mon: 8:00AM - 5:00AM Tue: 8:00AM - 5:00AM Wed: 8:00AM - 5:00AM Thu: 8:00AM - 5:00AM Fri: 8:00AM - 3:00AM Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
LISHA PETITT	APRN	58269

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