Stacy Philip, MD in Wagoner, OK - Medicare Family Medicine

Stacy Philip, MD is a medicare enrolled "Family Medicine" physician in Wagoner, Oklahoma. Her current practice location is 1200 W Cherokee St, Wagoner, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 485-5514.

Stacy Philip is licensed to practice in Oklahoma (license number 98292) 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 1366025207.

Contact Information

	Stacy Philip, MD
	1200 W Cherokee St, Wagoner, OK 74467-4624
	(918) 485-5514
	(918) 485-1383

Map and Direction

Physician's Profile

Full Name	Stacy Philip
Gender	Female
Speciality	Family Medicine
Location	1200 W Cherokee St, Wagoner, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366025207
Provider Enumeration Date: 04/29/2021
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 9830561992
Enrollment ID: I20230217002784

Medical Identifiers

Medical identifiers for Stacy Philip such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366025207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	38292 (Oklahoma)	Secondary
207Q00000X	Family Medicine	98292 (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. Stacy Philip allows following entities to bill medicare on her behalf.

Entity Name	St John Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867

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. Stacy Philip 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
Stacy Philip, MD 1200 W Cherokee St, Wagoner, OK 74467-4624 Ph: (918) 485-5514	Stacy Philip, MD 1200 W Cherokee St, Wagoner, OK 74467-4624 Ph: (918) 485-5514

Reviews and Comments

Family Medicine Doctors in Wagoner, OK

Dr. Richard Green Allen, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1103 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-3182 Fax: 918-485-1032
Mrs. Robyn Farmer, APRN-CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 W. Cherokee, Suite G, Wagoner, OK 74467 Phone: 918-485-5591
Mr. Bryan Casey Hanna, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W. Cherokee St, Wagoner, OK 74467 Phone: 918-485-5514 Fax: 918-485-8503
Dr. Michael Douglas Gorman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 E Cherokee St, Wagoner, OK 74467 Phone: 918-485-5591 Fax: 918-485-5758
John Claude Jackson, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 410 E Cherokee St, Wagoner, OK 74467 Phone: 918-485-5591 Fax: 918-485-5758
Dr. Chriss B Roberts, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1306 Sw 3rd St, Wagoner, OK 74467 Phone: 918-485-4444 Fax: 918-485-7407
Dr. David H Good, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 Phone: 918-485-1877 Fax: 918-485-0535

Stacy Philip, MD - Medicare Family Medicine in Wagoner, OK