Dr Terry Lynn Dean, MD is a
General Practice physician based in Tahlequah, Oklahoma. Dr Terry Lynn Dean is licensed to practice in Oklahoma (license number 17917) and her current practice location is 17675 S Muskogee Ave, Tahlequah, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 453-5387.
NPI number for Dr Terry Lynn Dean is 1730165820 and her current mailing address is 1400 N Juniper Pl, Broken Arrow, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730165820.
Physician's Profile
| Full Name | Dr Terry Lynn Dean |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 17675 S Muskogee Ave, Tahlequah, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730165820
- Provider Enumeration Date: 12/20/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Terry Lynn Dean such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730165820 | NPI | - | NPPES |
| 1117917 | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 17917 (Oklahoma) | Primary |
| 208D00000X | General Practice | R2G69 (Missouri) | 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 Terry Lynn Dean is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Terry Lynn Dean, MD
1400 N Juniper Pl,
Broken Arrow, OK 74012-1540
Ph: (918) 258-6519 | Dr Terry Lynn Dean, MD
17675 S Muskogee Ave,
Tahlequah, OK 74464-5492
Ph: (918) 453-5387 |
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