Dr Codie Jordan Vassar, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Choctaw, Oklahoma. His current practice location is
14453 Se 29th St Ste D, Choctaw, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 741-2844.
Dr Codie Jordan Vassar is licensed to practice in Wisconsin (license number T8967) 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 1538690995.
Physician's Profile
| Full Name | Dr Codie Jordan Vassar |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 14453 Se 29th St Ste D, Choctaw, 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 Codie Jordan Vassar attended and graduated from in
NPI Data:
- NPI Number: 1538690995
- Provider Enumeration Date: 03/27/2017
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Codie Jordan Vassar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538690995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01088491A (Indiana) | Secondary |
| 208D00000X | General Practice | 6978320 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | T8967 (Wisconsin) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME165983 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | T8967 (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036159195 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 6978320 (Wisconsin) | Secondary |
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 Codie Jordan Vassar 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 Codie Jordan Vassar, MD
1282 E Hickory Creek Ct,
Oak Creek, WI 53154-7316
Ph: (414) 690-0069 | Dr Codie Jordan Vassar, MD
14453 Se 29th St Ste D,
Choctaw, OK 73020-6543
Ph: (405) 741-2844 |
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