Gregory Raymond Favorite, PA is a
Physician Assistant based in Ringling, Oklahoma. Gregory Raymond Favorite is licensed to practice in Oklahoma (license number PA00714) and his current practice location is
103 W Main Street, Ringling, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 662-2078.
NPI number for Gregory Raymond Favorite is 1164479408 and his current mailing address is Po Box 649, 103 W Main Street, Ringling, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164479408.
Provider's Profile
| Full Name | Gregory Raymond Favorite |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 103 W Main Street, Ringling, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164479408
- Provider Enumeration Date: 05/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Gregory Raymond Favorite such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164479408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA00714 (Oklahoma) | Primary |
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. Gregory Raymond Favorite is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gregory Raymond Favorite, PA
Po Box 649, 103 W Main Street,
Ringling, OK 73456
Ph: () - | Gregory Raymond Favorite, PA
103 W Main Street,
Ringling, OK 73456
Ph: (580) 662-2078 |
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