MEDICARE: SARAH IRENE MCGUNEGILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		OK

General Provider Information

NPI Number	:	1992676829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH IRENE MCGUNEGILL

Provider Business Mailing Address
First Line	:	4318 E 5TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74112-2714
Country	:	US
Telephone Number	:	918-928-1944
Fax Number	:

Provider Business Practice Location Address
First Line	:	6711 S YALE AVE STE 106
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-3317
Country	:	US
Telephone Number	:	918-488-8002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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