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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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SASEVICH LORENZANA, MICHAEL JOHN       
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: FCPP
1541 FLORIDA AVENUE
#305
MODESTO CA 95219

Address last updated on 4/8/2019
Phone #: (209) 405-1528
Fax #:
County: NOT OKLAHOMA
License: 30875
Dated: 7/17/2014
Expires: 7/1/2019
License Type: Medical Doctor
Specialty: Transplant Surgery
Cardiothoracic Surgery
General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduated: 12 / 2000
CME Year: 2020
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 SURGERY
AMERICAN BOARD OF THORACIC SURGERY
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)
Evolutions Healthcare
First Health
Focus Healthcare
Galaxy Health Network
Global Health HMO
Great West Healthcare
Guidestar Health Systems
Health Payors Organization (HPO)
Health Smart Preferred Care (HSPC)
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
National Preferred Provider Network (NPPN)
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)
Physicians Direct Network
PPO Oklahoma
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Pronet
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Sparks Premiercare
Texas Medicaid
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
UniCare Health Plans of Oklahoma
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: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Regional Health Ctr.
Miami, OK
INTEGRIS Bass Baptist Health Center
Enid, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Clinton Regional Hospital
Clinton, OK
INTEGRIS Edmond
Edmond, OK
INTEGRIS Grove General Hospital
Grove, OK
INTEGRIS Marshall Memorial Hospital
Madill, OK
INTEGRIS Mayes County Medical Center
Pryor, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
SSM Health St. Anthony Hospital - Seminole (fmly Seminole Med Ctr)
Seminole, OK
Stillwater Medical Blackwell (fmly INTEGRIS Blackwell Reg. Hosp.)
Blackwell, OK
Locations: Hours: Languages:
FCPP
1541 FLORIDA AVENUE
#305
MODESTO CA 95219

Phone #: (209) 405-1528
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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