Black Oak Clinic Llc in Broken Bow, OK

Black Oak Clinic Llc is a medicare enrolled primary clinic (Clinic/center) in Broken Bow, Oklahoma. The current practice location for Black Oak Clinic Llc is 110 W 1st St, Broken Bow, Oklahoma. For appointments, you can reach them via phone at (580) 584-3099. The mailing address for Black Oak Clinic Llc is 110 W 1st St, Broken Bow, Oklahoma and phone number is (405) 628-8901.

Black Oak Clinic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366954661. 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 (580) 584-3099.

Contact Information

	Black Oak Clinic Llc
	110 W 1st St Broken Bow OK 74728
	(580) 584-3099
	(580) 584-3097

Map and Direction

Primary Care Clinic Profile

Full Name	Black Oak Clinic Llc
Speciality	Clinic/Center
Location	110 W 1st St, Broken Bow, Oklahoma
Authorized Official Name and Position	Megan Elizabeth Black (OWNER/NURSE PRACTITIONER)
Authorized Official Contact	5805843099
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Black Oak Clinic Llc 110 W 1st St Broken Bow OK 74728-3902 Ph: (405) 628-8901	Black Oak Clinic Llc 110 W 1st St Broken Bow OK 74728 Ph: (580) 584-3099

NPI Details:

NPI Number	1366954661
Provider Enumeration Date	10/26/2017
Last Update Date	08/07/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	7012275027
Medicare Enrollment ID	O20171221000642

Medical Identifiers

Medical identifiers for Black Oak Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366954661	NPI	-	NPPES
200740450A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (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. Black Oak Clinic Llc acts as a billing entity for following providers:

Provider Name	Megan E Black
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1568820140 PECOS PAC ID: 9234437559 Enrollment ID: I20160419002270

Reviews and Comments

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Black Oak Clinic Llc - Medicare Primary Care in Broken Bow, OK