Connor Blaine Rutherford, MD - Medicare Family Medicine in Shawnee, OK

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Connor Blaine Rutherford, MD is a medicare enrolled "Family Medicine" physician in Shawnee, Oklahoma. His current practice location is 2307 S Gordon Cooper Dr, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 273-5236.

Connor Blaine Rutherford is licensed to practice in Oklahoma (license number 38079) 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 1700404415.

Contact Information

Connor Blaine Rutherford, MD
2307 S Gordon Cooper Dr,
Shawnee, OK 74801
(405) 273-5236
Not Available

Map and Direction




Physician's Profile

Full NameConnor Blaine Rutherford
GenderMale
SpecialityFamily Medicine
Location2307 S Gordon Cooper Dr, Shawnee, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700404415
  • Provider Enumeration Date: 07/09/2020
  • Last Update Date: 08/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911346275
  • Enrollment ID: I20240418003658

Medical Identifiers

Medical identifiers for Connor Blaine Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700404415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 38079 (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. Connor Blaine Rutherford allows following entities to bill medicare on his behalf.
Entity NameAbsentee Shawnee Tribal Health Authority, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942253521
PECOS PAC ID: 5799171088
Enrollment ID: O20220414000294

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. Connor Blaine Rutherford 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 AddressPractice Location Address
Connor Blaine Rutherford, MD
2307 S Gordon Cooper Drive,
Shawnee, OK 74801

Ph: (405) 273-5236		Connor Blaine Rutherford, MD
2307 S Gordon Cooper Dr,
Shawnee, OK 74801

Ph: (405) 273-5236

Reviews and Comments


Family Medicine Doctors in Shawnee, OK

Dr. David Lewis Hadley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1920 N Broadway Ave, Shawnee, OK 74804
Phone: 405-273-7879    Fax: 405-273-7885
Dr. Lara Del Mashek, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W Macarthur St, Shawnee, OK 74804
Phone: 405-273-2270    Fax: 405-878-3468
Dr. Monika Durska-keller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 405-878-5850    
Gaynell Schieber Anderson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W Macarthur St, Shawnee, OK 74804
Phone: 405-878-8110    Fax: 405-214-1551
Russell Craig Click, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3204 Medical Park Dr, Shawnee, OK 74804
Phone: 405-878-6800    Fax: 405-878-6831
Mitchell A Wolf, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3214 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3794
Michael William Goddard, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 N Broadway Ave Ste 300, Shawnee, OK 74801
Phone: 405-395-0399    Fax: 405-395-0330

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.