- Medicare Primary Care in Fort Cobb, OK

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Fort Cobb, Oklahoma. The current practice location for is 111 W Main St, Fort Cobb, Oklahoma. For appointments, you can reach them via phone at (405) 632-6688. The mailing address for is 3000 N Grand Blvd, Oklahoma City, Oklahoma and phone number is (405) 632-6688.

is licensed to practice in Oklahoma (license number ). The clinic also participates in the medicare program and its NPI number is 1275646143. 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 (405) 632-6688.

Contact Information

111 W Main St
Fort Cobb
OK 73038-5866
(405) 632-6688
(405) 643-9296

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location111 W Main St, Fort Cobb, Oklahoma
Authorized Official Name and PositionTim Reddout (CFO)
Authorized Official Contact4056326688
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3000 N Grand Blvd
Oklahoma City
OK 73107-1818

Ph: (405) 632-6688
111 W Main St
Fort Cobb
OK 73038-5866

Ph: (405) 632-6688

NPI Details:

NPI Number1275646143
Provider Enumeration Date08/16/2006
Last Update Date02/26/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1557260007
Medicare Enrollment IDO20041221000840

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275646143NPI-NPPES
100734110IMedicaidOK
CIGNA DENTALOtherOK263715

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Oklahoma)Primary

Reviews and Comments


Clinic/Center in Fort Cobb, OK


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.