Dr Betsy Ann Ittickathra, DO in Edmond, OK

Dr Betsy Ann Ittickathra, DO is a medicare enrolled "Pediatrics" physician in Edmond, Oklahoma. Her current practice location is 1700 Renaissance Blvd, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 844-4300.

Dr Betsy Ann Ittickathra is licensed to practice in Oklahoma (license number 6632) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396238135.

Contact Information

	Dr Betsy Ann Ittickathra, DO
	1700 Renaissance Blvd, Edmond, OK 73013-3022
	(405) 844-4300
	(405) 844-4333

Map and Direction

Physician's Profile

Full Name	Dr Betsy Ann Ittickathra
Gender	Female
Speciality	Pediatrics
Location	1700 Renaissance Blvd, Edmond, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396238135
Provider Enumeration Date: 06/06/2018
Last Update Date: 10/24/2024

Medicare PECOS Information:

PECOS PAC ID: 0941732333
Enrollment ID: I20241009004314

Medical Identifiers

Medical identifiers for Dr Betsy Ann Ittickathra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396238135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	6632 (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 Betsy Ann Ittickathra allows following entities to bill medicare on her behalf.

Entity Name	Integris Ambulatory Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354

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 Betsy Ann Ittickathra 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
Dr Betsy Ann Ittickathra, DO 3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640 Ph: (405) 844-4300	Dr Betsy Ann Ittickathra, DO 1700 Renaissance Blvd, Edmond, OK 73013-3022 Ph: (405) 844-4300

Reviews and Comments

Pediatrics Doctors in Edmond, OK

Dr. Courtney Brooke Atchley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 16400 N May Ave, Edmond, OK 73013 Phone: 405-471-6800 Fax: 405-471-6811
Jessica Maria Yocum, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2820 N Kelly Ave Ste 200, Edmond, OK 73003 Phone: 405-726-8000 Fax: 405-726-8101
Brooke A Nida, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 S Renaissance Blvd, Edmond, OK 73013 Phone: 405-844-4300 Fax: 405-844-4333
Dr. Jeanne M Schaefer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 523 S Santa Fe Ave Ste B, Edmond, OK 73003 Phone: 405-509-6777 Fax: 405-509-6778
Susan T Redwine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 N Bryant Ave, Edmond, OK 73034 Phone: 405-330-7000
Dr. Kimberly Edgmon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2820 N Kelly Ave, Suite 200, Edmond, OK 73003 Phone: 405-726-8000 Fax: 405-726-8101
Dr. Sabrina R. Olay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1700 Renaissance Blvd, Edmond, OK 73013 Phone: 405-844-4300 Fax: 408-844-4333

Dr Betsy Ann Ittickathra, DO - Medicare Pediatrics in Edmond, OK