Tina C Small, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Fort Sill, Oklahoma. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Spine Care Of Oklahoma Llc and her current practice location is
4301 Wilson St, Fort Sill, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 558-8497.
Tina C Small is licensed to practice in Oklahoma (license number 24054) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720074255.
Physician's Profile
Full Name | Tina C Small |
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Gender | Female |
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Speciality | Physical Medicine And Rehabilitation |
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Experience | 25 Years |
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Location | 4301 Wilson St, Fort Sill, Oklahoma |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tina C Small graduated from medical school in 1999
NPI Data:
- NPI Number: 1720074255
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648232256
- Enrollment ID: I20041027000180
Medical Identifiers
Medical identifiers for Tina C Small such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720074255 | NPI | - | NPPES |
P00166228 | Other | | RAILROAD MEDICARE |
487023200 | Other | OK | DOL |
200038730A | Medicaid | OK | |
7664685 | Other | OK | AETNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 24054 (Oklahoma) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Spine Care Of Oklahoma Llc | 3476549114 | 4 |
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. Tina C Small allows following entities to bill medicare on her behalf.
Entity Name | Spine Care Of Oklahoma Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033302906 PECOS PAC ID: 3476549114 Enrollment ID: O20040420001624 |
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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. Tina C Small 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 |
Tina C Small, MD 4301 Wilson St, Fort Sill, OK 73503-4472 Ph: (580) 558-8497 | Tina C Small, MD 4301 Wilson St, Fort Sill, OK 73503-4472 Ph: (580) 558-8497 |
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