Northeastern Tribal Health System - Medicare Primary Care in Miami, OK

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Northeastern Tribal Health System is a medicare enrolled primary clinic (Clinic/center) in Miami, Oklahoma. The current practice location for Northeastern Tribal Health System is 7600 S Highway 69a, Miami, Oklahoma. For appointments, you can reach them via phone at (918) 542-1655. The mailing address for Northeastern Tribal Health System is Po Box 1498, 2301 Eight Tribes Trail, Miami, Oklahoma and phone number is (918) 542-1655.

Northeastern Tribal Health System is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1871522532. 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) 542-1655.

Contact Information

Northeastern Tribal Health System
7600 S Highway 69a
Miami
OK 74354-1016
(918) 542-1655
(918) 540-1685

Map and Direction


Primary Care Clinic Profile

Full NameNortheastern Tribal Health System
SpecialityClinic/Center
Location7600 S Highway 69a, Miami, Oklahoma
Authorized Official Name and PositionSharon A. Dawes (HEALTH PROGRAM DIRECTOR)
Authorized Official Contact9185421655
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northeastern Tribal Health System
Po Box 1498
2301 Eight Tribes Trail
Miami
OK 74355-1498

Ph: (918) 542-1655		Northeastern Tribal Health System
7600 S Highway 69a
Miami
OK 74354-1016

Ph: (918) 542-1655

NPI Details:

NPI Number1871522532
Provider Enumeration Date07/02/2006
Last Update Date12/18/2012

Medicare PECOS Information:

Medicare PECOS PAC ID7911893854
Medicare Enrollment IDO20040226000389

Medical Identifiers

Medical identifiers for Northeastern Tribal Health System such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871522532NPI-NPPES
100700600DMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/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. Northeastern Tribal Health System acts as a billing entity for following providers:
Provider NameCameron C Scott
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699898429
PECOS PAC ID: 6608819867
Enrollment ID: I20050608000547
Provider NameSuzanne T Mallatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417984352
PECOS PAC ID: 8022116300
Enrollment ID: I20071101000604
Provider NameRebecca A Enloe
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578753216
PECOS PAC ID: 0446347959
Enrollment ID: I20071213000425
Provider NameTommy D Foreman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750373494
PECOS PAC ID: 2961592902
Enrollment ID: I20071214000268
Provider NameBrent Denley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487797718
PECOS PAC ID: 9335224229
Enrollment ID: I20080318000126
Provider NameCarol A Demond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386826113
PECOS PAC ID: 1153400643
Enrollment ID: I20080508000791
Provider NameShirley L Chesnut
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932293974
PECOS PAC ID: 5092862482
Enrollment ID: I20110329000702
Provider NameDouglas R Banning
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1356477681
PECOS PAC ID: 6608863287
Enrollment ID: I20110912000086
Provider NameKristy L Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437454451
PECOS PAC ID: 9335306885
Enrollment ID: I20120210000447
Provider NameJari Jill Frazier
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326087636
PECOS PAC ID: 4587791041
Enrollment ID: I20140310000651
Provider NameKara J Kinsey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063510642
PECOS PAC ID: 1759478878
Enrollment ID: I20180109001105
Provider NameJames C Eaton
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1144266859
PECOS PAC ID: 4688706450
Enrollment ID: I20180221001048
Provider NameShelly Diane Sedberry
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1770978074
PECOS PAC ID: 8426379041
Enrollment ID: I20181212002356
Provider NameMatthew A Keim
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1194803072
PECOS PAC ID: 5799020541
Enrollment ID: I20181222000125
Provider NameDaniel Robinett Shea
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1548255995
PECOS PAC ID: 0446547582
Enrollment ID: I20191014000405
Provider NameJennifer D Barnes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801319652
PECOS PAC ID: 5991076606
Enrollment ID: I20210908000460
Provider NameShelly Ann Boston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932487022
PECOS PAC ID: 4981877206
Enrollment ID: I20211008000624
Provider NameApril L Wyatt
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770915746
PECOS PAC ID: 0941677520
Enrollment ID: I20221110003023
Provider NameSabrina Stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750085064
PECOS PAC ID: 5698130193
Enrollment ID: I20230506000064
Provider NameScotti B Freeman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1659155620
PECOS PAC ID: 5193187391
Enrollment ID: I20230821002274
Provider NamePresley A Goff
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194336156
PECOS PAC ID: 7113370578
Enrollment ID: I20240201001664
Provider NameEverett E Mitchell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093016461
PECOS PAC ID: 8022468735
Enrollment ID: I20240429001533
Provider NameMatthew Harold Roberts
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1225030562
PECOS PAC ID: 2062465354
Enrollment ID: I20240509002326
Provider NameKristin C Walker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1982096400
PECOS PAC ID: 6305296005
Enrollment ID: I20240520002720

Reviews and Comments


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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.