Dr Tina Marie Southworth, DC is a medicare enrolled "Chiropractor" provider in Stilwell, Oklahoma. She went to Cleveland Chiropractic College - Kansas City and graduated in 1999 and has 25 years of diverse experience with area of expertise as Chiropractic. Her current practice location is
519 N 2nd St, Stilwell, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 696-7220.
Dr Tina Marie Southworth is licensed to practice in Oklahoma (license number 3496) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023058625.
Healthcare Provider's Profile
| Full Name | Dr Tina Marie Southworth |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 25 Years |
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| Location | 519 N 2nd St, Stilwell, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tina Marie Southworth attended and graduated from Cleveland Chiropractic College - Kansas City in 1999
NPI Data:
- NPI Number: 1023058625
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 08/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173536547
- Enrollment ID: I20060801000453
Medical Identifiers
Medical identifiers for Dr Tina Marie Southworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023058625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3496 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tina Marie Southworth allows following entities to bill medicare on her behalf.
| Provider Name | Late Night Chiropractic Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407802986
PECOS PAC ID: 1254431497
Enrollment ID: O20070717000381 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tina Marie Southworth is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Tina Marie Southworth, DC
201 S 2nd St,
Stilwell, OK 74960-3838
Ph: (918) 696-7220 | Dr Tina Marie Southworth, DC
519 N 2nd St,
Stilwell, OK 74960-2407
Ph: (918) 696-7220 |
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