1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Clinical Neuropsychologist
  6. NPI Profile

EDISON DALE JEFFUS JR. PHD
NPI 1407905284
Clinical Neuropsychologist in Tulsa, OK

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
3220 S PEORIA AVE, SUITE 2, TULSA, OK 74105(918) 749-5506(918) 749-5506 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edison Dale Jeffus Jr. Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDISON DALE JEFFUS JR. PHD (NPI 1407905284) is an individual clinical neuropsychologist in Tulsa, Oklahoma, licensed in Oklahoma (636) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1407905284
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameEDISON DALE JEFFUS JR.Credential: PHD
Location Address3220 S PEORIA AVE, SUITE 2Tulsa, OK 74105-2003
Mailing Address509 W 33rd StSand Springs, OK 74063-2934 · (918) 241-1149 · Fax (918) 749-5506
Phone(918) 749-5506
Fax(918) 749-5506
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 9, 2007
Last NPPES UpdateDecember 28, 2011
✔ NPI 1407905284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in OK · 636
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 636 (OK)
3220 S PEORIA AVE, Tulsa, OK 74105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edison Dale Jeffus Jr. Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385802156
PECOS Enrollment IDI20120224000333
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSYCHOTHERAPY SOLUTIONS OF TULSA LLC
Community/Behavioral Health
3220 S PEORIA AVE
TULSA, OK 74105
Tulsa County (539) 664-6222
MISSION PHYSICIAN SERVICES, LLC
Family Medicine
3220 S PEORIA AVE, SUITE 101
TULSA, OK 74105
Tulsa County (877) 228-4951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edison Jeffus's NPI number?

The NPI number for Edison Jeffus is 1407905284. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Edison Jeffus located?

Edison Jeffus practices at 3220 S Peoria Ave Suite 2, Tulsa, OK 74105. The listed phone number is (918) 749-5506.

What is Edison Jeffus's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Edison Jeffus enrolled in Medicare?

Yes. Edison Jeffus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edison Jeffus accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Edison Jeffus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edison Jeffus was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.