Dr Charles Don Vantuyl, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Bixby, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Prophylaxis Healthcare Llc and his current practice location is
11911 S Memorial Dr, Bixby, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 943-3790.
Dr Charles Don Vantuyl is licensed to practice in Oklahoma (license number 16535) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1629014899.
Physician's Profile
| Full Name | Dr Charles Don Vantuyl |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 37 Years |
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| Location | 11911 S Memorial Dr, Bixby, Oklahoma |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charles Don Vantuyl attended and graduated from University Of Oklahoma College Of Medicine in 1987
NPI Data:
- NPI Number: 1629014899
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 02/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769486604
- Enrollment ID: I20111230000443
Medical Identifiers
Medical identifiers for Dr Charles Don Vantuyl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629014899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 16535 (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 Charles Don Vantuyl allows following entities to bill medicare on his behalf.
| Entity Name | Counseling & Recovery Services Of Oklahoma, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023172012
PECOS PAC ID: 8921990326
Enrollment ID: O20100616000605 |
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| Entity Name | Prophylaxis Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538453923
PECOS PAC ID: 3072784289
Enrollment ID: O20110920000575 |
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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 Charles Don Vantuyl 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 Charles Don Vantuyl, MD
1306 Country Club Rd,
Mcalester, OK 74501-7237
Ph: (918) 429-9355 | Dr Charles Don Vantuyl, MD
11911 S Memorial Dr,
Bixby, OK 74008-2030
Ph: (918) 943-3790 |
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