Larry Ray Tevebaugh Jr, NURSE PRACTITIONER - Medicare Registered Nurse in Oklahoma City, OK

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Larry Ray Tevebaugh Jr, NURSE PRACTITIONER is a medicare enrolled "Registered Nurse - General Practice" in Oklahoma City, Oklahoma. His current practice location is 6600 Nw 134th St, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 830-5574.

Larry Ray Tevebaugh Jr is licensed to practice in Oklahoma (license number R0094181) 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 1619560984.

Contact Information

Larry Ray Tevebaugh Jr, NURSE PRACTITIONER
6600 Nw 134th St,
Oklahoma City, OK 73142-5909
(405) 830-5574
Not Available

Map and Direction




Provider's Profile

Full NameLarry Ray Tevebaugh Jr
GenderMale
SpecialityRegistered Nurse - General Practice
Location6600 Nw 134th St, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619560984
  • Provider Enumeration Date: 02/17/2021
  • Last Update Date: 02/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092158600
  • Enrollment ID: I20240212001228

Medical Identifiers

Medical identifiers for Larry Ray Tevebaugh Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619560984NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice R0094181 (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. Larry Ray Tevebaugh Jr allows following entities to bill medicare on his behalf.
Entity NameThe Physicians Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487620381
PECOS PAC ID: 8325950603
Enrollment ID: O20031104000641

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. Larry Ray Tevebaugh Jr 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 AddressPractice Location Address
Larry Ray Tevebaugh Jr, NURSE PRACTITIONER
6600 Nw 134th St,
Oklahoma City, OK 73142-5909

Ph: (405) 830-5574		Larry Ray Tevebaugh Jr, NURSE PRACTITIONER
6600 Nw 134th St,
Oklahoma City, OK 73142-5909

Ph: (405) 830-5574

Reviews and Comments


Registered Nurse Nurses in Oklahoma City, OK

Amber Bares, RN
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Phone: 405-948-4900    Fax: 405-948-4933
Hanna Elizabeth Jeffreys, RN
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Medicare: Medicare Enrolled
Practice Location: 920 Stanton L Young Blvd Ste 1140, Oklahoma City, OK 73104
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Donna Jean Hendrix, RNC-NICU-IBCLC
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Phone: 405-936-1500    Fax: 405-936-1579
Michael Stephen Zinn, RN
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Practice Location: 2100 Sw 119th St, Oklahoma City, OK 73170
Phone: 405-314-0169    
Angeline Lema Fombe,
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Practice Location: 6100 S Walker Ave, Oklahoma City, OK 73139
Phone: 405-634-4400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.