Beau E Sparkman, DDS is a medicare enrolled "Dentist - General Practice" provider in Roland, Oklahoma. His current practice location is
104 W Ray Fine Blvd, Ste. 5, Roland, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 503-6262.
Beau E Sparkman is licensed to practice in Oklahoma (license number 6347) 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 1437445400.
Healthcare Provider's Profile
| Full Name | Beau E Sparkman |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 104 W Ray Fine Blvd, Roland, 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: 1437445400
- Provider Enumeration Date: 06/28/2011
- Last Update Date: 02/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 3072815943
- Enrollment ID: I20160108001740
Medical Identifiers
Medical identifiers for Beau E Sparkman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437445400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 3833 (Arkansas) | Secondary |
| 1223G0001X | Dentist - General Practice | 6347 (Oklahoma) | Primary |
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. Beau E Sparkman 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 |
Beau E Sparkman, DDS 104 W Ray Fine Blvd, Ste. 5, Roland, OK 74954-5289 Ph: (918) 503-6262 | Beau E Sparkman, DDS 104 W Ray Fine Blvd, Ste. 5, Roland, OK 74954-5289 Ph: (918) 503-6262 |
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