Dr Scott Allen Dempewolf, MD is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" physician in Ardmore, Oklahoma. His current practice location is
2002 12th Ave Nw, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 226-8646.
Dr Scott Allen Dempewolf is licensed to practice in Oklahoma (license number 20353) 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 1437130762.
Physician's Profile
| Full Name | Dr Scott Allen Dempewolf |
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| Gender | Male |
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| Speciality | Otolaryngology - Otolaryngic Allergy |
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| Location | 2002 12th Ave Nw, Ardmore, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437130762
- Provider Enumeration Date: 11/14/2005
- Last Update Date: 11/29/2011
Medicare PECOS Information:
- PECOS PAC ID: 2769499631
- Enrollment ID: I20060620000125
Medical Identifiers
Medical identifiers for Dr Scott Allen Dempewolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437130762 | NPI | - | NPPES |
| 100119370A | Medicaid | OK | |
| 040012718 | Other | OK | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 20353 (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 Scott Allen Dempewolf allows following entities to bill medicare on his behalf.
| Entity Name | Oklahoma Otolaryngology Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124118773
PECOS PAC ID: 9739136102
Enrollment ID: O20050407000414 |
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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 Scott Allen Dempewolf 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 Scott Allen Dempewolf, MD
2002 12th Ave Nw,
Ardmore, OK 73401-1206
Ph: (580) 226-8646 | Dr Scott Allen Dempewolf, MD
2002 12th Ave Nw,
Ardmore, OK 73401-1206
Ph: (580) 226-8646 |
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