Dr Matthew Raymond Radant, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Tulsa, Oklahoma. His current practice location is
6161 S Yale Ave, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 494-1805.
Dr Matthew Raymond Radant is licensed to practice in Oklahoma (license number 35081) 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 1316226087.
Healthcare Provider's Profile
| Full Name | Dr Matthew Raymond Radant |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 6161 S Yale Ave, Tulsa, 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: 1316226087
- Provider Enumeration Date: 08/11/2011
- Last Update Date: 12/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537390927
- Enrollment ID: I20220127002561
Medical Identifiers
Medical identifiers for Dr Matthew Raymond Radant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316226087 | NPI | - | NPPES |
| 200981500A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7455 (Oklahoma) | Secondary |
| 208600000X | Surgery | 35081 (Oklahoma) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 35081 (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 Matthew Raymond Radant allows following entities to bill medicare on his behalf.
| Entity Name | Warren Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174582282
PECOS PAC ID: 8820900293
Enrollment ID: O20031104000252 |
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| Entity Name | Care Communications Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003040767
PECOS PAC ID: 8820136724
Enrollment ID: O20091113000340 |
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| Entity Name | Ou Health Partners Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618 |
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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 Matthew Raymond Radant 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 |
|---|
Dr Matthew Raymond Radant, MD, DDS
6600 S Yale Ave Ste 1400,
Tulsa, OK 74136-3331
Ph: (888) 247-0125 | Dr Matthew Raymond Radant, MD, DDS
6161 S Yale Ave,
Tulsa, OK 74136-1902
Ph: (918) 494-1805 |
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