Oklahoma State University is a
Preferred Provider Organization based in Stillwater, Oklahoma. Oklahoma State University is licensed to practice in Oklahoma (license number 17462) and their current practice location is
170 Athletics Center, Stillwater, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(405) 744-5430.
NPI number for Oklahoma State University is 1063681104 and their current mailing address is 170 Athletics Center, Stillwater, Oklahoma. Oklahoma State University
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1063681104.
Healthcare Provider's Profile
| Full Name | Oklahoma State University |
|---|
| Type | Facility |
|---|
| Speciality | Preferred Provider Organization |
|---|
| Location | 170 Athletics Center, Stillwater, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063681104
- Provider Enumeration Date: 02/22/2008
- Last Update Date: 02/22/2008
Medical Identifiers
Medical identifiers for Oklahoma State University such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063681104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 3509 (Oklahoma) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 465 (Oklahoma) | Secondary |
| 305R00000X | Preferred Provider Organization | 17462 (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. Oklahoma State University 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 |
|---|
Oklahoma State University
170 Athletics Center,
Stillwater, OK 74078-0001
Ph: (405) 744-5430 | Oklahoma State University
170 Athletics Center,
Stillwater, OK 74078-0001
Ph: (405) 744-5430 |
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