Jace Clinkenbeard, PT, DPT is a
Physical Therapist based in Pawnee, Oklahoma. Jace Clinkenbeard is licensed to practice in Oklahoma (license number 6644) and his current practice location is
1201 Heritage Cir, Pawnee, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 762-2517.
NPI number for Jace Clinkenbeard is 1992512206 and his current mailing address is 116 Leaning Tree Rd, Fort Gibson, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992512206.
Healthcare Provider's Profile
| Full Name | Jace Clinkenbeard |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 1201 Heritage Cir, Pawnee, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992512206
- Provider Enumeration Date: 12/11/2024
- Last Update Date: 12/16/2024
Medical Identifiers
Medical identifiers for Jace Clinkenbeard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992512206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 6644 (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. Jace Clinkenbeard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jace Clinkenbeard, PT, DPT
116 Leaning Tree Rd,
Fort Gibson, OK 74434-7611
Ph: (918) 685-0935 | Jace Clinkenbeard, PT, DPT
1201 Heritage Cir,
Pawnee, OK 74058-3744
Ph: (918) 762-2517 |
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