Bradley Roscoe Littleton, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fort Gibson, Oklahoma. His current practice location is
108 Lone Oak Cir, Fort Gibson, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 478-6005.
Bradley Roscoe Littleton is licensed to practice in Oklahoma (license number 200273) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912597204.
Provider's Profile
Full Name | Bradley Roscoe Littleton |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 108 Lone Oak Cir, Fort Gibson, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912597204
- Provider Enumeration Date: 01/21/2021
- Last Update Date: 05/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931513009
- Enrollment ID: I20210201001609
Medical Identifiers
Medical identifiers for Bradley Roscoe Littleton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912597204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 200273 (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. Bradley Roscoe Littleton allows following entities to bill medicare on his behalf.
Entity Name | Creek Nation Hospital & Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
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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. Bradley Roscoe Littleton 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 |
Bradley Roscoe Littleton, APRN 6600 S Yale Ave Ste 1200, Tulsa, OK 74136-3361 Ph: (918) 488-6687 | Bradley Roscoe Littleton, APRN 108 Lone Oak Cir, Fort Gibson, OK 74434-5001 Ph: (918) 478-6005 |
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