Grant Richard Detten, DO is a medicare enrolled "Orthopaedic Surgery" physician in Elk City, Oklahoma. His current practice location is
1710 W 3rd St Ste 100, Elk City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 339-7540.
Grant Richard Detten is licensed to practice in Oklahoma (license number 6969) 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 1568026227.
Physician's Profile
Full Name | Grant Richard Detten |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 1710 W 3rd St Ste 100, Elk City, 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: 1568026227
- Provider Enumeration Date: 04/29/2019
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537695937
- Enrollment ID: I20241209003184
Medical Identifiers
Medical identifiers for Grant Richard Detten such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568026227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 6969 (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. Grant Richard Detten allows following entities to bill medicare on his behalf.
Entity Name | Farmers Union Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184639122 PECOS PAC ID: 7517949415 Enrollment ID: O20040603001383 |
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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. Grant Richard Detten 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 |
Grant Richard Detten, DO 1710 W 3rd St Ste 100, Elk City, OK 73644-5160 Ph: (580) 339-7540 | Grant Richard Detten, DO 1710 W 3rd St Ste 100, Elk City, OK 73644-5160 Ph: (580) 339-7540 |
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