Theron Ogedengbe, in Tahlequah, OK - Medicare Social Worker Provider

Theron Ogedengbe, is a medicare enrolled "Social Worker - Clinical" provider in Tahlequah, Oklahoma. His current practice location is 227 N Water Ave, Tahlequah, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 207-0078.

Theron Ogedengbe is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578925681.

Contact Information

	Theron Ogedengbe,
	227 N Water Ave, Tahlequah, OK 74464-2825
	(918) 207-0078
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theron Ogedengbe
Gender	Male
Speciality	Social Worker - Clinical
Location	227 N Water Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578925681
Provider Enumeration Date: 03/28/2016
Last Update Date: 03/28/2016

Medicare PECOS Information:

PECOS PAC ID: 3779019641
Enrollment ID: I20241216002391

Medical Identifiers

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

Identifier	Type	State	Issuer
1578925681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theron Ogedengbe allows following entities to bill medicare on his behalf.

Entity Name	Preferred Family Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376904086 PECOS PAC ID: 0244256246 Enrollment ID: O20151014000914

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. Theron Ogedengbe 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
Theron Ogedengbe, 1330 E Allen Rd Apt 9, Tahlequah, OK 74464-2255 Ph: (918) 934-0348	Theron Ogedengbe, 227 N Water Ave, Tahlequah, OK 74464-2825 Ph: (918) 207-0078

Reviews and Comments

Social Worker in Tahlequah, OK

Quentin Sigman, LMSW U/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-3551
Ms. Pamela Kay Rusco, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 S Bliss Avenue, Cherokee Nation Behavioral Health, Tahlequah, OK 74464 Phone: 918-458-3170 Fax: 918-458-3610
Micala Cooper, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1510 E Shawnee Cir, Tahlequah, OK 74464 Phone: 918-772-4004
Sara Kay Perry, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16414 W 760 Rd, Tahlequah, OK 74464 Phone: 918-708-9009
Michelle Lynn Deason, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 223 S College Ave, Tahlequah, OK 74464 Phone: 918-507-0711 Fax: 918-207-1661
Dawn Ballew, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 315 N College Ave, Tahlequah, OK 74464 Phone: 918-453-1171
Ethan Randall, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 308 E Downing St, Tahlequah, OK 74464 Phone: 918-931-3995

Theron Ogedengbe, - Medicare Clinical Social Worker in Tahlequah, OK