Mr Fredric A West, PA is a medicare enrolled "Physician Assistant" in Westville, Oklahoma. He graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northeastern Oklahoma Community Health Centers, Inc and his current practice location is
761 Buffington Rd, Westville, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 723-3997.
Mr Fredric A West is licensed to practice in Oklahoma (license number 1075) 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 1831140383.
Provider's Profile
| Full Name | Mr Fredric A West |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 29 Years |
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| Location | 761 Buffington Rd, Westville, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Fredric A West graduated from nursing school in 1995
NPI Data:
- NPI Number: 1831140383
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 06/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 6608840509
- Enrollment ID: I20041025000307
Medical Identifiers
Medical identifiers for Mr Fredric A West such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831140383 | NPI | - | NPPES |
| 100074610A | Medicaid | OK | |
| 100074610D | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA238 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 1075 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northeastern Oklahoma Community Health Centers, Inc | 3678482635 | 27 |
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 Fredric A West 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 Fredric A West, PA
Po Box 408,
Westville, OK 74965-0408
Ph: (918) 723-5456 | Mr Fredric A West, PA
761 Buffington Rd,
Westville, OK 74965-7011
Ph: (918) 723-3997 |
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