Zachry Deaton, RD/LD is a medicare enrolled "Dietitian, Registered" provider in Purcell, Oklahoma. His current practice location is
1438 Hardcastle Blvd, Purcell, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 527-4700.
Zachry Deaton is licensed to practice in Oklahoma (license number 2114) 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 1376918268.
Healthcare Provider's Profile
| Full Name | Zachry Deaton |
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| Gender | Male |
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| Speciality | Dietitian, Registered |
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| Location | 1438 Hardcastle Blvd, Purcell, 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: 1376918268
- Provider Enumeration Date: 12/03/2015
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860776457
- Enrollment ID: I20220831000404
Medical Identifiers
Medical identifiers for Zachry Deaton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376918268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 2114 (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. Zachry Deaton allows following entities to bill medicare on his behalf.
| Provider Name | Chickasaw Nation Division Of Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
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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. Zachry Deaton 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 |
Zachry Deaton, RD/LD 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 421-4570 | Zachry Deaton, RD/LD 1438 Hardcastle Blvd, Purcell, OK 73080-8233 Ph: (405) 527-4700 |
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