<unavail> in Pryor, OK - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Pryor, Oklahoma. The current practice location for is 562 S Elliott St, Pryor, Oklahoma. For appointments, you can reach them via phone at (918) 824-8000. The mailing address for is 1 Burton Hills Blvd Ste 250, Nashville, Tennessee and phone number is (615) 296-3000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134632037. 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) 824-8000.

Contact Information


	562 S Elliott St Pryor OK 74361
	(918) 824-8000
	(918) 825-5505

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	562 S Elliott St, Pryor, Oklahoma
Authorized Official Name and Position	Stephen C. Petrovich (EVP)
Authorized Official Contact	6152963000
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 Ph: (615) 296-3000	562 S Elliott St Pryor OK 74361 Ph: (918) 824-8000

NPI Details:

NPI Number	1134632037
Provider Enumeration Date	11/14/2017
Last Update Date	12/31/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	3072880624
Medicare Enrollment ID	O20171121001335

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134632037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QR1300X	Clinic/center - Rural Health	(* (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. acts as a billing entity for following providers:

Provider Name	Dale C Huntington
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1700468279 PECOS PAC ID: 3577948884 Enrollment ID: I20240917001774

Reviews and Comments

Clinic/Center in Pryor, OK

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 S Elliott St, Pryor, OK 74361 Phone: 918-825-3389 Fax: 918-825-5505
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Ne 1st St, Suite 400, Pryor, OK 74361 Phone: 918-824-7714 Fax: 918-824-6412

- Medicare Primary Care in Pryor, OK