Timothy Bushyhead, is a medicare enrolled "Family Medicine" physician in Skiatook, Oklahoma. He went to Ohio State University College Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St John Physicians Inc, Omni Medical Group Inc and his current practice location is
1501 W Rogers Blvd, Skiatook, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 396-4122.
Timothy Bushyhead is licensed to practice in Oklahoma (license number 5953) 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 1154718807.
Physician's Profile
| Full Name | Timothy Bushyhead |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 1501 W Rogers Blvd, Skiatook, 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. |
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Medical Education and Training:
- Timothy Bushyhead attended and graduated from Ohio State University College Of Medicine in 2015
NPI Data:
- NPI Number: 1154718807
- Provider Enumeration Date: 04/21/2015
- Last Update Date: 09/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 8123379419
- Enrollment ID: I20180926000547
Medical Identifiers
Medical identifiers for Timothy Bushyhead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154718807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5953 (Oklahoma) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Jane Phillips Regional Home Care, Llc | Bartlesville, OK | Home health agency |
| St John Home Care, Llc | Tulsa, OK | Home health agency |
| Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
| St John Owasso | Owasso, OK | Hospital |
| St John Medical Center, Inc | Tulsa, OK | Hospital |
| Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St John Physicians Inc | 2567366495 | 221 |
| Omni Medical Group Inc | 9739080490 | 83 |
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. Timothy Bushyhead allows following entities to bill medicare on his behalf.
| Entity Name | St John Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336194406
PECOS PAC ID: 2567366495
Enrollment ID: O20031121000867 |
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| Entity Name | Omni Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174578249
PECOS PAC ID: 9739080490
Enrollment ID: O20040115000897 |
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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. Timothy Bushyhead 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 |
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Timothy Bushyhead,
1501 W Rogers Blvd,
Skiatook, OK 74070-3924
Ph: (918) 396-4122 | Timothy Bushyhead,
1501 W Rogers Blvd,
Skiatook, OK 74070
Ph: (918) 396-4122 |
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