Philip Clay Bryan, MD is a medicare enrolled "Specialist" physician in Oklahoma City, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1969 and has 56 years of diverse experience with area of expertise as General Surgery. His current practice location is
1000 N Lee Ave, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 340-2346.
Philip Clay Bryan is licensed to practice in Oklahoma (license number 9273) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104828359.
Physician's Profile
Full Name | Philip Clay Bryan |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 56 Years |
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Location | 1000 N Lee Ave, Oklahoma City, Oklahoma |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Philip Clay Bryan attended and graduated from University Of Oklahoma College Of Medicine in 1969
NPI Data:
- NPI Number: 1104828359
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315839958
- Enrollment ID: I20040327000206
Medical Identifiers
Medical identifiers for Philip Clay Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104828359 | NPI | - | NPPES |
100000560A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 9273 (Oklahoma) | Secondary |
174400000X | Specialist | 9273 (Oklahoma) | Primary |
Medical Facilities Affiliation
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. Philip Clay Bryan allows following entities to bill medicare on his behalf.
Entity Name | Philip C Bryan Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770917353 PECOS PAC ID: 7315175973 Enrollment ID: O20140107000007 |
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Entity Name | Allied Wound Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750167383 PECOS PAC ID: 6406296300 Enrollment ID: O20240425001611 |
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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. Philip Clay Bryan 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 |
Philip Clay Bryan, MD 1515 Tower Dr, Moore, OK 73160-6181 Ph: (405) 310-0836 | Philip Clay Bryan, MD 1000 N Lee Ave, Oklahoma City, OK 73102-1036 Ph: (405) 340-2346 |
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