Indigo Drew Vincent Deberry, MD in Moore, OK

Indigo Drew Vincent Deberry, MD is a medicare enrolled "Family Medicine" physician in Moore, Oklahoma. His current practice location is 1401 Sw 34th St Ste 200, Moore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 793-1188.

Indigo Drew Vincent Deberry is licensed to practice in Oklahoma (license number 38236) 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 1730779901.

Contact Information

	Indigo Drew Vincent Deberry, MD
	1401 Sw 34th St Ste 200, Moore, OK 73160-3059
	(405) 793-1188
	(405) 793-0492

Map and Direction

Physician's Profile

Full Name	Indigo Drew Vincent Deberry
Gender	Male
Speciality	Family Medicine
Location	1401 Sw 34th St Ste 200, Moore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730779901
Provider Enumeration Date: 01/21/2021
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1456898048
Enrollment ID: I20240731003199

Medical Identifiers

Medical identifiers for Indigo Drew Vincent Deberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730779901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	38236 (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. Indigo Drew Vincent Deberry allows following entities to bill medicare on his behalf.

Entity Name	Integris Ambulatory Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354

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. Indigo Drew Vincent Deberry 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
Indigo Drew Vincent Deberry, MD 3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640 Ph: (405) 793-1188	Indigo Drew Vincent Deberry, MD 1401 Sw 34th St Ste 200, Moore, OK 73160-3059 Ph: (405) 793-1188

Reviews and Comments

Family Medicine Doctors in Moore, OK

Nazanin Sara Hesami, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 320 N Service Rd, Moore, OK 73160 Phone: 405-794-4474
Dr. Shelly Dawn Faubion, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Se 4th St, Moore, OK 73160 Phone: 405-794-4664 Fax: 405-794-2853
Nusrat Rumana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Telephone Rd, Moore, OK 73160 Phone: 405-793-1188
Dr. Sarah Elizabeth Cox, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-378-5491 Fax: 405-378-5492
Chandlar Maria Vazquez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-378-5491 Fax: 405-378-5492
Kyle Fanning, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Sw 34th St Ste 200, Moore, OK 73160 Phone: 405-793-1188 Fax: 405-793-0492
Dawna Mccreight, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1227 N Santa Fe Ave, Moore, OK 73160 Phone: 405-799-4436 Fax: 405-793-1546

Indigo Drew Vincent Deberry, MD - Medicare Family Medicine in Moore, OK