Tahlequah Family Medicine Clinic in Tahlequah, OK

Tahlequah Family Medicine Clinic is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Tahlequah, Oklahoma. The current practice location for Tahlequah Family Medicine Clinic is 204 Woodlawn Ave, Tahlequah, Oklahoma. For appointments, you can reach them via phone at (918) 456-8000. The mailing address for Tahlequah Family Medicine Clinic is 101 Tommye Ln, Tahlequah, Oklahoma and phone number is (918) 456-8000.

Tahlequah Family Medicine Clinic is licensed to practice in Oklahoma (license number 14708). The clinic also participates in the medicare program and its NPI number is 1144633041. 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) 456-8000.

Contact Information

	Tahlequah Family Medicine Clinic
	204 Woodlawn Ave Tahlequah OK 74464-3318
	(918) 456-8000
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Tahlequah Family Medicine Clinic
Speciality	Clinic/Center
Location	204 Woodlawn Ave, Tahlequah, Oklahoma
Authorized Official Name and Position	Larry Dean Sumner (PHYSICIAN)
Authorized Official Contact	9184568000
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tahlequah Family Medicine Clinic 101 Tommye Ln Tahlequah OK 74464-4173 Ph: (918) 456-8000	Tahlequah Family Medicine Clinic 204 Woodlawn Ave Tahlequah OK 74464-3318 Ph: (918) 456-8000

NPI Details:

NPI Number	1144633041
Provider Enumeration Date	06/09/2014
Last Update Date	06/09/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	6608191234
Medicare Enrollment ID	O20150202001993

Medical Identifiers

Medical identifiers for Tahlequah Family Medicine Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144633041	NPI	-	NPPES
100124340B	Other	OK	SOONERCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	14708 (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. Tahlequah Family Medicine Clinic acts as a billing entity for following providers:

Provider Name	Larry D Sumner
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1699761981 PECOS PAC ID: 0941269211 Enrollment ID: I20041004000830

Reviews and Comments

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Tahlequah Family Medicine Clinic - Medicare Primary Care in Tahlequah, OK