Mrs Kelly Dawn Moak, PA-C in Choctaw, OK - Medicare Physician Assistant

Mrs Kelly Dawn Moak, PA-C is a medicare enrolled "Physician Assistant - Medical" in Choctaw, Oklahoma. Her current practice location is 14321 Ne 23rd St, Choctaw, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 342-0255.

Mrs Kelly Dawn Moak is licensed to practice in Oklahoma (license number 2482) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598860520.

Contact Information

	Mrs Kelly Dawn Moak, PA-C
	14321 Ne 23rd St, Choctaw, OK 73020-8624
	(405) 342-0255
	(405) 610-6960

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Dawn Moak
Gender	Female
Speciality	Physician Assistant - Medical
Location	14321 Ne 23rd St, Choctaw, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598860520
Provider Enumeration Date: 09/14/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1557426749
Enrollment ID: I20150316001259

Medical Identifiers

Medical identifiers for Mrs Kelly Dawn Moak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598860520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	2482 (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. Mrs Kelly Dawn Moak 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
Mrs Kelly Dawn Moak, PA-C 2100 W Iowa Ave, Chickasha, OK 73018-2736 Ph: (405) 224-2100	Mrs Kelly Dawn Moak, PA-C 14321 Ne 23rd St, Choctaw, OK 73020-8624 Ph: (405) 342-0255

Reviews and Comments

Physician Assistant Nurses in Choctaw, OK

Billy Grant Sanders, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15809 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 Fax: 405-390-9400
Chelsea Waldrop, Physician Assistant Medicare: Medicare Enrolled Practice Location: 14453 Se 29th St Ste D, Choctaw, OK 73020 Phone: 405-741-2844 Fax: 405-733-1334
Mr. Isaac Leland Schmiedel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14321 Ne 23rd St, Choctaw, OK 73020 Phone: 405-342-0255 Fax: 405-610-6960
Nhu Thuy Luong, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15809 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 Fax: 405-390-9400
Doretta Jenison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 830 Oak Hill Rd, Choctaw, OK 73020 Phone: 619-886-0898

Mrs Kelly Dawn Moak, PA-C - Medicare Physician Assistant in Choctaw, OK