Sopukro W Tienabeso, MD in Mcalester, OK - Medicare Internal Medicine

Sopukro W Tienabeso, MD is a medicare enrolled "Internal Medicine" physician in Mcalester, Oklahoma. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lawton Indian Hospital and his current practice location is 1 E Clark Bass Blvd, Mcalester, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 426-1800.

Sopukro W Tienabeso is licensed to practice in Oklahoma (license number 24308) 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 1770513442.

Contact Information

	Sopukro W Tienabeso, MD
	1 E Clark Bass Blvd, Mcalester, OK 74501-4209
	(918) 426-1800
	Not Available

Map and Direction

Physician's Profile

Full Name	Sopukro W Tienabeso
Gender	Male
Speciality	Internal Medicine
Experience	40 Years
Location	1 E Clark Bass Blvd, Mcalester, Oklahoma
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:

Sopukro W Tienabeso graduated from medical school in 1984

NPI Data:

NPI Number: 1770513442
Provider Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3971533217
Enrollment ID: I20181214002014

Medical Identifiers

Medical identifiers for Sopukro W Tienabeso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770513442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	24308 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lawton Indian Hospital	Lawton, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lawton Indian Hospital	6406800234	102

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. Sopukro W Tienabeso allows following entities to bill medicare on his behalf.

Entity Name	Lawton Indian Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760489223 PECOS PAC ID: 6406800234 Enrollment ID: O20050304000301

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. Sopukro W Tienabeso 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
Sopukro W Tienabeso, MD 1316 Nw 170th St, Edmond, OK 73003-7410 Ph: (405) 285-0796	Sopukro W Tienabeso, MD 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 Ph: (918) 426-1800

Reviews and Comments

Internal Medicine Doctors in Mcalester, OK

Thomas M Reinsvold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 E Clark Bass Blvd, Suite 204, Mcalester, OK 74501 Phone: 918-422-6071 Fax: 918-421-6077
Lee Alice Goscin, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Oklahoma Ave, Mcalester, OK 74501 Phone: 918-423-4900 Fax: 918-423-4907
James Allen Golla, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-426-0240 Fax: 918-423-4051
Stacy Hardy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-426-0240 Fax: 918-423-4051
Kenneth R Miller, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-426-0240 Fax: 918-423-4051
Dr. Revathi Chikkappaiah Belur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 E Clark Bass Blvd, 203, Mcalester, OK 74501 Phone: 918-423-8200 Fax: 918-423-8222
Heidi Herron Dickens, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 N Strong Blvd, Mcalester, OK 74501 Phone: 918-426-0625 Fax: 918-423-0695

Sopukro W Tienabeso, MD - Medicare Internal Medicine in Mcalester, OK