Charles P Crowell Iii, DO is a
Family Medicine physician based in Hominy, Oklahoma. Charles P Crowell Iii is licensed to practice in Oklahoma (license number 1918) and his current practice location is 119 W Main St, Hominy, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 885-4640.
NPI number for Charles P Crowell Iii is 1487623294 and his current mailing address is 212 N Main St, Fairfax, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487623294.
Physician's Profile
| Full Name | Charles P Crowell Iii |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 119 W Main St, Hominy, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487623294
- Provider Enumeration Date: 03/15/2006
- Last Update Date: 08/27/2013
Medical Identifiers
Medical identifiers for Charles P Crowell Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487623294 | NPI | - | NPPES |
| 100190910B | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 1918 (Oklahoma) | Primary |
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. Charles P Crowell Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles P Crowell Iii, DO
212 N Main St,
Fairfax, OK 74637-3023
Ph: (918) 642-3100 | Charles P Crowell Iii, DO
119 W Main St,
Hominy, OK 74035-1031
Ph: (918) 885-4640 |
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