Northeast Oklahoma Physician Network Inc - Medicare Primary Care in Broken Arrow, OK

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Northeast Oklahoma Physician Network Inc is a medicare enrolled primary clinic (Family Medicine) in Broken Arrow, Oklahoma. The current practice location for Northeast Oklahoma Physician Network Inc is 1130 E Lansing St, Broken Arrow, Oklahoma. For appointments, you can reach them via phone at (918) 258-9990. The mailing address for Northeast Oklahoma Physician Network Inc is 2408 E 81st St, Ste 300, Tulsa, Oklahoma and phone number is (918) 477-5049.

Northeast Oklahoma Physician Network Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114283025. 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) 258-9990.

Contact Information

Northeast Oklahoma Physician Network Inc
1130 E Lansing St
Broken Arrow
OK 74012-2429
(918) 258-9990
(918) 994-4277

Map and Direction


Primary Care Clinic Profile

Full NameNortheast Oklahoma Physician Network Inc
SpecialityFamily Medicine
Location1130 E Lansing St, Broken Arrow, Oklahoma
Authorized Official Name and PositionRichard Ferguson (CEO)
Authorized Official Contact9184775049
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northeast Oklahoma Physician Network Inc
2408 E 81st St
Ste 300
Tulsa
OK 74137-4200

Ph: (918) 477-5049		Northeast Oklahoma Physician Network Inc
1130 E Lansing St
Broken Arrow
OK 74012-2429

Ph: (918) 258-9990

NPI Details:

NPI Number1114283025
Provider Enumeration Date04/04/2012
Last Update Date06/19/2012

Medicare PECOS Information:

Medicare PECOS PAC ID8527224252
Medicare Enrollment IDO20120725000427

Medical Identifiers

Medical identifiers for Northeast Oklahoma Physician Network Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114283025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QS0010XFamily Medicine - Sports Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northeast Oklahoma Physician Network Inc acts as a billing entity for following providers:
Provider NameRobert L Shepler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386604239
PECOS PAC ID: 5799686077
Enrollment ID: I20040119000785
Provider NameDouglas R Banning
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356477681
PECOS PAC ID: 6608863287
Enrollment ID: I20040427000371
Provider NameRita S Westenhaver
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639141724
PECOS PAC ID: 8123071586
Enrollment ID: I20060504000488
Provider NameKyra J Vineyard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225005895
PECOS PAC ID: 8022014133
Enrollment ID: I20061012000644
Provider NameBarry Don Troutman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104910272
PECOS PAC ID: 6204996424
Enrollment ID: I20081118000599
Provider NameScott J Fowler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952563892
PECOS PAC ID: 6709942063
Enrollment ID: I20090311000646
Provider NameClell W Pond
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093795510
PECOS PAC ID: 5890848543
Enrollment ID: I20090729000227
Provider NameKristina Kay Price
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295964823
PECOS PAC ID: 0648319574
Enrollment ID: I20091205000034
Provider NameJay A Geary
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821071036
PECOS PAC ID: 7810036639
Enrollment ID: I20091207000660
Provider NameDarci R Hazelwood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417914961
PECOS PAC ID: 3971635863
Enrollment ID: I20100712000487
Provider NameHarleen Kaur Grewal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417926387
PECOS PAC ID: 1355466236
Enrollment ID: I20100915000868
Provider NameIan D Bushyhead
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679701361
PECOS PAC ID: 8921143777
Enrollment ID: I20110915000808
Provider NameMonica Winford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679810295
PECOS PAC ID: 3971731886
Enrollment ID: I20140122000258
Provider NameBryan D Henry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316343338
PECOS PAC ID: 7416272133
Enrollment ID: I20150220000822
Provider NameKyndol M Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093151342
PECOS PAC ID: 6406090059
Enrollment ID: I20150324000664
Provider NameSheila Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508224882
PECOS PAC ID: 2062718620
Enrollment ID: I20160308000288
Provider NameClinton R Childs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841245024
PECOS PAC ID: 8123117744
Enrollment ID: I20160405002357
Provider NameWilliam Daniel Vaughn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558809434
PECOS PAC ID: 2860778206
Enrollment ID: I20170419000757
Provider NameBetsy Graham-moeller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568992071
PECOS PAC ID: 6800160409
Enrollment ID: I20170920003016
Provider NameKeri Enns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417470006
PECOS PAC ID: 8022382399
Enrollment ID: I20170926000411
Provider NameTed L Barrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407304827
PECOS PAC ID: 2062760028
Enrollment ID: I20180807003571
Provider NameAdrian Theerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295375996
PECOS PAC ID: 0547699746
Enrollment ID: I20200409002891
Provider NameBrandi S Shell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952916645
PECOS PAC ID: 6901218296
Enrollment ID: I20201210000546
Provider NameLeticia Enriquez Rojas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164978045
PECOS PAC ID: 8224314554
Enrollment ID: I20210818002359
Provider NameLeisha Lynn Lawson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326519349
PECOS PAC ID: 9436491602
Enrollment ID: I20211029001754
Provider NameWilliam Karl Thummel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639830573
PECOS PAC ID: 2860888344
Enrollment ID: I20220410000100

Reviews and Comments


Family Medicine in Broken Arrow, OK

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.