Tammy Lynn Dexter, CNM is a medicare enrolled "Advanced Practice Midwife" in Ponca City, Oklahoma. Her current practice location is
1908 N 14th St Ste 203, Ponca City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 718-4501.
Tammy Lynn Dexter is licensed to practice in Oklahoma (license number R0073214) 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 1013147842.
Provider's Profile
| Full Name | Tammy Lynn Dexter |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 1908 N 14th St Ste 203, Ponca City, Oklahoma |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1013147842
- Provider Enumeration Date: 07/14/2009
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507902640
- Enrollment ID: I20091005000118
Medical Identifiers
Medical identifiers for Tammy Lynn Dexter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013147842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | R0073214 (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. Tammy Lynn Dexter allows following entities to bill medicare on her behalf.
| Entity Name | Integris Ambulatory Care Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354 |
|---|
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. Tammy Lynn Dexter 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 |
|---|
Tammy Lynn Dexter, CNM
1908 N 14th St Ste 203,
Ponca City, OK 74601-2039
Ph: (580) 718-4501 | Tammy Lynn Dexter, CNM
1908 N 14th St Ste 203,
Ponca City, OK 74601-2039
Ph: (580) 718-4501 |
Reviews and Comments