Dr Kellie Dawn Vantuyl, DO - Medicare Family Practice in Coweta, OK

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Dr Kellie Dawn Vantuyl, DO is a medicare enrolled "Family Medicine" physician in Coweta, Oklahoma. She went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Warren Clinic Inc and her current practice location is 30011 E State Highway 51, Coweta, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 486-2161.

Dr Kellie Dawn Vantuyl is licensed to practice in Oklahoma (license number 5137) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821376138.

Contact Information

Dr Kellie Dawn Vantuyl, DO
30011 E State Highway 51,
Coweta, OK 74429-7681
(918) 486-2161
(918) 486-3135

Map and Direction




Physician's Profile

Full NameDr Kellie Dawn Vantuyl
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location30011 E State Highway 51, Coweta, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kellie Dawn Vantuyl attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2010
  NPI Data:
  • NPI Number: 1821376138
  • Provider Enumeration Date: 08/03/2011
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8426224502
  • Enrollment ID: I20130916000081

Medical Identifiers

Medical identifiers for Dr Kellie Dawn Vantuyl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821376138NPI-NPPES
200401090AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5137 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Hospital South, LlcTulsa, OKHospital
Saint Francis Hospital, IncTulsa, OKHospital
Saint Francis Hospital MuskogeeMuskogee, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Warren Clinic Inc8820900293693

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 Kellie Dawn Vantuyl allows following entities to bill medicare on her behalf.
Entity NameWarren Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174582282
PECOS PAC ID: 8820900293
Enrollment ID: O20031104000252

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 Kellie Dawn Vantuyl 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 AddressPractice Location Address
Dr Kellie Dawn Vantuyl, DO
6600 S Yale Ave, Suite 1400,
Tulsa, OK 74136-3347

Ph: () -		Dr Kellie Dawn Vantuyl, DO
30011 E State Highway 51,
Coweta, OK 74429-7681

Ph: (918) 486-2161

Reviews and Comments


Family Medicine Doctors in Coweta, OK

Bradley Todd Anderson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 28622 E 141st St S, Coweta, OK 74429
Phone: 918-486-7425    Fax: 918-279-6884
Dr. Lawrence E Vark, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 31870 E. Hwy 51, Coweta, OK 74429
Phone: 918-279-3200    
Dr. Bret A Hubbard, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 607 S Broadway, Coweta, OK 74429
Phone: 918-486-5564    Fax: 918-486-3284
Dr. Joshua Lowe, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31870 E State Highway 51, Coweta, OK 74429
Phone: 918-279-3200    Fax: 918-279-1118
Dr. Jack Stephen Aldridge, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 30011 E State Highway 51, Coweta, OK 74429
Phone: 918-486-2161    Fax: 918-486-3135
Mrs. Kathleen Mary Mcgovern, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30011 E State Highway 51, Coweta, OK 74429
Phone: 918-486-2161    Fax: 918-486-3135
Laren W Hightower, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 28622 E 141st St S, Coweta, OK 74429
Phone: 918-486-7425    Fax: 918-279-6884

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.