<unavail> in Grove, OK - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Medical Specialty) in Grove, Oklahoma. The current practice location for is 4602 Us Highway 59, Grove, Oklahoma. For appointments, you can reach them via phone at (918) 877-1211. The mailing address for is Po Box 450130, Grove, Oklahoma and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245978774. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (918) 877-1211.

Contact Information


	4602 Us Highway 59 Grove OK 74344-4229
	(918) 877-1211
	(918) 877-1216

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4602 Us Highway 59, Grove, Oklahoma
Authorized Official Name and Position	Jacob Hostetler (MANAGER)
Authorized Official Contact	9188771211
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 450130 Grove OK 74345-0130 Ph: () -	4602 Us Highway 59 Grove OK 74344-4229 Ph: (918) 877-1211

NPI Details:

NPI Number	1245978774
Provider Enumeration Date	05/24/2022
Last Update Date	11/13/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	2961881867
Medicare Enrollment ID	O20220623001960

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245978774	NPI	-	NPPES
201090500A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QM2500X	Clinic/center - Medical Specialty	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Jacob Clark Hostetler
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1265829485 PECOS PAC ID: 5395048599 Enrollment ID: I20180628002168

Reviews and Comments

Clinic/Center in Grove, OK

Renee J. Zarintash, M.d., P.l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 13th St, Suite 104, Grove, OK 74344 Phone: 918-786-3100 Fax: 918-786-3108
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 13th St, Suite 201, Grove, OK 74344 Phone: 918-561-8306 Fax: 918-561-5747
Northeast Oklahoma Family Practice & Obstetrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St, Suite H, Grove, OK 74344 Phone: 918-786-4664 Fax: 918-786-4256
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63153 East 290 Road, Grove, OK 74344 Phone: 918-801-5991
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 E 13th St, Ste A, C, G & H, Grove, OK 74344 Phone: 918-786-2243
Family Care Spec, Inc., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 13th St Ste C, Grove, OK 74344 Phone: 918-786-6151 Fax: 918-786-3483

- Medicare Primary Care in Grove, OK