Adam Skinner, is a medicare enrolled "Social Worker - Clinical" provider in Shawnee, Oklahoma. His current practice location is
600 W Independence St, Ste. 900, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 275-1844.
Adam Skinner is licensed to practice in Oklahoma (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 1093254641.
Healthcare Provider's Profile
| Full Name | Adam Skinner |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 600 W Independence St, Shawnee, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093254641
- Provider Enumeration Date: 02/15/2017
- Last Update Date: 02/15/2017
Medicare PECOS Information:
- PECOS PAC ID: 6901242155
- Enrollment ID: I20240311000013
Medical Identifiers
Medical identifiers for Adam Skinner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093254641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oklahoma) | Secondary |
| 1041C0700X | Social Worker - Clinical | (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. Adam Skinner allows following entities to bill medicare on his behalf.
| Entity Name | Creoks Mental Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841311289 PECOS PAC ID: 0749591469 Enrollment ID: O20161101000781 |
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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. Adam Skinner 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 |
Adam Skinner, 4636 S Harvard Ave, Tulsa, OK 74135-2908 Ph: (918) 382-7300 | Adam Skinner, 600 W Independence St, Ste. 900, Shawnee, OK 74804-4320 Ph: (405) 275-1844 |
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