Dr Bryce Owen Bliss, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Ardmore, Oklahoma. His current practice location is
1011 14th Ave Nw, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 223-5400.
Dr Bryce Owen Bliss is licensed to practice in Oklahoma (license number 7103) 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 1982716452.
Physician's Profile
| Full Name | Dr Bryce Owen Bliss |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 1011 14th Ave Nw, Ardmore, 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: 1982716452
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 01/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 3779752712
- Enrollment ID: I20110809000643
Medical Identifiers
Medical identifiers for Dr Bryce Owen Bliss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982716452 | NPI | - | NPPES |
| 100098530A | Medicaid | OK | |
| 751465559002 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZD0900X | Pathology - Dermatopathology | 7103 (Oklahoma) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 30974 (Arizona) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 7103 (Oklahoma) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 30974 (Arizona) | Secondary |
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 Bryce Owen Bliss allows following entities to bill medicare on his behalf.
| Entity Name | Campbell Chiropractic L.l.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265608582
PECOS PAC ID: 7810152667
Enrollment ID: O20120629000444 |
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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 Bryce Owen Bliss 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 Bryce Owen Bliss, MD
1600 Scripture St,
Denton, TX 76201-3809
Ph: (940) 384-6000 | Dr Bryce Owen Bliss, MD
1011 14th Ave Nw,
Ardmore, OK 73401-1828
Ph: (580) 223-5400 |
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