Dr Clark Jiro Tingleaf, MD in Owasso, OK

Dr Clark Jiro Tingleaf, MD is a medicare enrolled "Urology" physician in Owasso, Oklahoma. He went to University Of Texas Medical School At San Antonio and graduated in 1995 and has 29 years of diverse experience with area of expertise as Urology. He is a member of the group practice Ahs Oklahoma Physician Group Llc and his current practice location is 10512 N 110th East Ave, Ste 200, Owasso, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 376-8926.

Dr Clark Jiro Tingleaf is licensed to practice in Oklahoma (license number 23509) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881624153.

Contact Information

	Dr Clark Jiro Tingleaf, MD
	10512 N 110th East Ave, Ste 200, Owasso, OK 74055-6636
	(918) 376-8926
	(918) 377-8936

Map and Direction

Physician's Profile

Full Name	Dr Clark Jiro Tingleaf
Gender	Male
Speciality	Urology
Experience	29 Years
Location	10512 N 110th East Ave, Owasso, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Clark Jiro Tingleaf attended and graduated from University Of Texas Medical School At San Antonio in 1995

NPI Data:

NPI Number: 1881624153
Provider Enumeration Date: 07/03/2006
Last Update Date: 09/24/2019

Medicare PECOS Information:

PECOS PAC ID: 1759280472
Enrollment ID: I20040105000600

Medical Identifiers

Medical identifiers for Dr Clark Jiro Tingleaf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881624153	NPI	-	NPPES
200015250B	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	23509 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bailey Medical Center, Llc	Owasso, OK	Hospital
Hillcrest Medical Center	Tulsa, OK	Hospital
Hillcrest Hospital South	Tulsa, OK	Hospital
Hillcrest Hospital Claremore	Claremore, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ahs Oklahoma Physician Group Llc	9436122496	302

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 Clark Jiro Tingleaf allows following entities to bill medicare on his behalf.

Entity Name	Ahs Oklahoma Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197

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 Clark Jiro Tingleaf 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 Clark Jiro Tingleaf, MD 10512 N 110th East Ave, Ste 200, Owasso, OK 74055-6636 Ph: (918) 376-8926	Dr Clark Jiro Tingleaf, MD 10512 N 110th East Ave, Ste 200, Owasso, OK 74055-6636 Ph: (918) 376-8926

Dr Clark Jiro Tingleaf, MD - Medicare Urology in Owasso, OK