Dr Clark Jiro Tingleaf, MD is a medicare enrolled "Urology" physician in Owasso, Oklahoma. 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.
Physician's Profile
| Full Name | Dr Clark Jiro Tingleaf |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 10512 N 110th East Ave, Owasso, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Clark Jiro Tingleaf attended and graduated from in
NPI Data:
- NPI Number: 1881624153
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 09/24/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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| 208800000X | Urology | 23509 (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. 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 |
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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 |
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