Grand Lake Primary Care in Grove, OK - Medicare Family Medicine

Grand Lake Primary Care is a medicare enrolled primary clinic (Family Medicine) in Grove, Oklahoma. The current practice location for Grand Lake Primary Care is 900 E 13th St, Suite 104, Grove, Oklahoma. For appointments, you can reach them via phone at (918) 786-3100. The mailing address for Grand Lake Primary Care is 1110 Neo Loop, Grove, Oklahoma and phone number is (918) 786-3100.

Grand Lake Primary Care is licensed to practice in Oklahoma (license number 22021). The clinic also participates in the medicare program and its NPI number is 1316092182. 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) 786-3100.

Contact Information

	Grand Lake Primary Care
	900 E 13th St Suite 104 Grove OK 74344-2975
	(918) 786-3100
	(918) 786-3108

Map and Direction

Primary Care Clinic Profile

Full Name	Grand Lake Primary Care
Speciality	Family Medicine
Location	900 E 13th St, Grove, Oklahoma
Authorized Official Name and Position	Renee Jean Russell (PROVIDER)
Authorized Official Contact	9187863100
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Grand Lake Primary Care 1110 Neo Loop Grove OK 74344-6046 Ph: (918) 786-3100	Grand Lake Primary Care 900 E 13th St Suite 104 Grove OK 74344-2975 Ph: (918) 786-3100

NPI Details:

NPI Number	1316092182
Provider Enumeration Date	01/24/2007
Last Update Date	11/11/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	6406956234
Medicare Enrollment ID	O20070710000295

Medical Identifiers

Medical identifiers for Grand Lake Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316092182	NPI	-	NPPES
100017290D	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	22021 (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. Grand Lake Primary Care acts as a billing entity for following providers:

Provider Name	Renee J Russell
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1245286921 PECOS PAC ID: 6709880909 Enrollment ID: I20060907000582

Reviews and Comments

Family Medicine 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
Osu-aj Integris Grand Lake Ent 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
Happy Feet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63153 East 290 Road, Grove, OK 74344 Phone: 918-801-5991
Integris Medical Group Grove Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 E 13th St, Ste A, C, G & H, Grove, OK 74344 Phone: 918-786-2243
Dr. H's Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4602 Us Highway 59, Grove, OK 74344 Phone: 918-877-1211 Fax: 918-877-1216
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

Grand Lake Primary Care - Medicare Primary Care in Grove, OK