Mr Brian Travis Pendarvis, ARNP in Noble, OK - Medicare Nurse Practitioner

Mr Brian Travis Pendarvis, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Noble, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Noble Family Healthcare Clinic and his current practice location is 205 South Main Street, Noble, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 872-5403.

Mr Brian Travis Pendarvis is licensed to practice in Oklahoma (license number R0067224) 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 1417952904.

Contact Information

	Mr Brian Travis Pendarvis, ARNP
	205 South Main Street, Noble, OK 73068
	(405) 872-5403
	(405) 872-5407

Map and Direction

Provider's Profile

Full Name	Mr Brian Travis Pendarvis
Gender	Male
Speciality	Nurse Practitioner
Experience	20 Years
Location	205 South Main Street, Noble, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Brian Travis Pendarvis attended and graduated from University Of Oklahoma College Of Medicine in 2004

NPI Data:

NPI Number: 1417952904
Provider Enumeration Date: 06/20/2005
Last Update Date: 01/30/2014

Medicare PECOS Information:

PECOS PAC ID: 9032162854
Enrollment ID: I20050222000150

Medical Identifiers

Medical identifiers for Mr Brian Travis Pendarvis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417952904	NPI	-	NPPES
200043980A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R0067224 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norman Regional	Norman, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Noble Family Healthcare Clinic	3476569435	2

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. Mr Brian Travis Pendarvis allows following entities to bill medicare on his behalf.

Entity Name	Noble Family Healthcare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447327622 PECOS PAC ID: 3476569435 Enrollment ID: O20060228000513

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. Mr Brian Travis Pendarvis 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
Mr Brian Travis Pendarvis, ARNP 205 South Main Street, Po Box 2096, Noble, OK 73068 Ph: (405) 872-5403	Mr Brian Travis Pendarvis, ARNP 205 South Main Street, Noble, OK 73068 Ph: (405) 872-5403

Reviews and Comments

Nurse Practitioner Nurses in Noble, OK

Emily J Shockley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 N 8th St, Noble, OK 73068 Phone: 405-872-7102
Drew W Woodrow, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8201 102nd St, Noble, OK 73068 Phone: 405-370-3139
Dawnita R Randolph, MSN, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8703 80th St, Noble, OK 73068 Phone: 405-820-5857

Mr Brian Travis Pendarvis, ARNP - Medicare Nurse Practitioner in Noble, OK