Dr Kevin Jay Faris, MD is a medicare enrolled "Internal Medicine" physician in Noble, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Noble Family Healthcare Clinic and his current practice location is
205 S Main St, Noble, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 872-5403.
Dr Kevin Jay Faris is licensed to practice in Oklahoma (license number 16675) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003888207.
Physician's Profile
| Full Name | Dr Kevin Jay Faris |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 42 Years |
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| Location | 205 S Main St, Noble, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kevin Jay Faris attended and graduated from University Of Oklahoma College Of Medicine in 1982
NPI Data:
- NPI Number: 1003888207
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 03/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880629468
- Enrollment ID: I20051003000423
Medical Identifiers
Medical identifiers for Dr Kevin Jay Faris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003888207 | NPI | - | NPPES |
| 100130750A | Medicaid | OK | |
| 400522556 | Other | OK | MEDICARE GRP # |
| 110186683 | Other | OK | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | N3025 (Texas) | Secondary |
| 207R00000X | Internal Medicine | 16675 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Noble Family Healthcare Clinic | 3476569435 | 2 |
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 Kevin Jay Faris allows following entities to bill medicare on his behalf.
| Entity Name | Noble Family Healthcare Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447327622
PECOS PAC ID: 3476569435
Enrollment ID: O20060228000513 |
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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. Dr Kevin Jay Faris 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 |
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Dr Kevin Jay Faris, MD
Po Box 2096,
Noble, OK 73068-2096
Ph: (405) 872-5403 | Dr Kevin Jay Faris, MD
205 S Main St,
Noble, OK 73068-9623
Ph: (405) 872-5403 |
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