Dr Codie Jordan Vassar, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Choctaw, Oklahoma. He went to Medical College Of Wisconsin and graduated in 2017 and has 7 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Aspirus Stevens Point Hospital And Clinics, Inc., St Luke's Physician Group Inc, Adventist Health Partners,inc., St Lukes Warren Physician Group Pc, Kenosha Community Health Center, Inc. and 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 | Psychiatry |
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| Experience | 7 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 Medical College Of Wisconsin in 2017
NPI Data:
- NPI Number: 1538690995
- Provider Enumeration Date: 03/27/2017
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496009565
- Enrollment ID: I20181109000024
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 |
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| 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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aspirus Stevens Point Hospital And Clinics, Inc. | 1850358938 | 125 |
| St Luke's Physician Group Inc | 6709798333 | 1727 |
| Adventist Health Partners,inc. | 0244135762 | 205 |
| St Lukes Warren Physician Group Pc | 9739093675 | 324 |
| Kenosha Community Health Center, Inc. | 0941195168 | 11 |
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 Codie Jordan Vassar allows following entities to bill medicare on his behalf.
| Entity Name | Kenosha Community Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265435960
PECOS PAC ID: 0941195168
Enrollment ID: O20040217000840 |
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| Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538112230
PECOS PAC ID: 1850358938
Enrollment ID: O20041210000558 |
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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 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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