Dr Jack Robin Snedden Iii, MD is a medicare enrolled "Hospitalist" physician in Owasso, Oklahoma. His current practice location is
10502 North 110th East Avenue, Owasso, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 376-8590.
Dr Jack Robin Snedden Iii is licensed to practice in Oklahoma (license number 21312) 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 1215908041.
Physician's Profile
Full Name | Dr Jack Robin Snedden Iii |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 10502 North 110th East Avenue, Owasso, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215908041
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 05/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 8022115393
- Enrollment ID: I20070522000008
Medical Identifiers
Medical identifiers for Dr Jack Robin Snedden Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215908041 | NPI | - | NPPES |
100120000A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 21312 (Oklahoma) | Secondary |
208M00000X | Hospitalist | 21312 (Oklahoma) | Primary |
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 Jack Robin Snedden Iii allows following entities to bill medicare on his behalf.
Entity Name | Ahs Oklahoma Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
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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 Jack Robin Snedden Iii 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 Jack Robin Snedden Iii, MD 10502 N 110th East Ave, Owasso, OK 74055-6655 Ph: (918) 376-8590 | Dr Jack Robin Snedden Iii, MD 10502 North 110th East Avenue, Owasso, OK 74055-6655 Ph: (918) 376-8590 |
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