Dr Paul Varughese, MD - Medicare Pediatrics in Durant, OK

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Dr Paul Varughese, MD is a medicare enrolled "Pediatrics" physician in Durant, Oklahoma. His current practice location is 1400 Bryan Dr Ste 201, Durant, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 931-2290.

Dr Paul Varughese is licensed to practice in Oklahoma (license number 26824) 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 1497800064.

Contact Information

Dr Paul Varughese, MD
1400 Bryan Dr Ste 201,
Durant, OK 74701-2157
(580) 931-2290
(580) 931-2288

Map and Direction




Physician's Profile

Full NameDr Paul Varughese
GenderMale
SpecialityPediatrics
Location1400 Bryan Dr Ste 201, Durant, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497800064
  • Provider Enumeration Date: 01/24/2007
  • Last Update Date: 09/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436202157
  • Enrollment ID: I20090728000831

Medical Identifiers

Medical identifiers for Dr Paul Varughese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497800064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME 97642 (Florida)Secondary
208000000XPediatrics 26824 (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 Paul Varughese allows following entities to bill medicare on his behalf.
Entity NameDurant Hma Physician Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043361116
PECOS PAC ID: 3375638976
Enrollment ID: O20070927000304
Entity NameMarshall County Hma, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356874374
PECOS PAC ID: 5193985653
Enrollment ID: O20120409000632

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 Paul Varughese 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 AddressPractice Location Address
Dr Paul Varughese, MD
1400 Bryan Dr Ste 201,
Durant, OK 74701-2157

Ph: (580) 931-2290		Dr Paul Varughese, MD
1400 Bryan Dr Ste 201,
Durant, OK 74701-2157

Ph: (580) 931-2290

Reviews and Comments


Pediatrics Doctors in Durant, OK

Dr. Bala Krishna V Arabolu, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1202 N 16th Ave, Durant, OK 74701
Phone: 580-924-1144    Fax: 580-924-6667
Michael John Steve Simulescu, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 430 Bryan Dr, Durant, OK 74701
Phone: 580-920-1980    Fax: 580-920-9937
Dr. Jamie Akin, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 430 Bryan Dr, Durant, OK 74701
Phone: 580-920-1980    Fax: 580-920-9937

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.