Dr Bob H Womack, DDS is a medicare enrolled "Dentist" provider in Clayton, Oklahoma. His current practice location is
109 Stanly Rd, Clayton, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 569-4143.
Dr Bob H Womack is licensed to practice in Oklahoma (license number 1516) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619941242.
Healthcare Provider's Profile
| Full Name | Dr Bob H Womack |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 109 Stanly Rd, Clayton, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619941242
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 08/15/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648710889
- Enrollment ID: I20240913002462
Medical Identifiers
Medical identifiers for Dr Bob H Womack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619941242 | NPI | - | NPPES |
| 1305466 | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 1516 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Bob H Womack allows following entities to bill medicare on his behalf.
| Entity Name | Pushmataha Family Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891882676
PECOS PAC ID: 9537189261
Enrollment ID: O20081114000464 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bob H Womack is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Bob H Womack, DDS
18563 305th Ave,
Keota, OK 74941-6513
Ph: (918) 966-3827 | Dr Bob H Womack, DDS
109 Stanly Rd,
Clayton, OK 74536
Ph: (918) 569-4143 |
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