Ms Jumok K Bottoms, PA is a medicare enrolled "Physician Assistant" physician in Ft Sill, Oklahoma. Her current practice location is
4303 Pitman & Thomas Rd, Ft Sill, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 215-8494.
Ms Jumok K Bottoms is licensed to practice in Oklahoma (license number 1110) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124049481.
Physician's Profile
Full Name | Ms Jumok K Bottoms |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 4303 Pitman & Thomas Rd, Ft Sill, 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: 1124049481
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 06/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062416027
- Enrollment ID: I20210625000988
Medical Identifiers
Medical identifiers for Ms Jumok K Bottoms such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124049481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QG0300X | Family Medicine - Geriatric Medicine | 1110 (Oklahoma) | Secondary |
363A00000X | Physician Assistant | 1110 (Oklahoma) | Primary |
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. Ms Jumok K Bottoms 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 |
Ms Jumok K Bottoms, PA 4303 Pitman St, Fort Sill, OK 73503-4473 Ph: (580) 483-3643 | Ms Jumok K Bottoms, PA 4303 Pitman & Thomas Rd, Ft Sill, OK 73503 Ph: (580) 215-8494 |
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