Dr Sandra Kay Dimmitt, MD is a medicare enrolled "General Practice" physician in Cushing, Oklahoma. Her current practice location is
1102 E 2nd St, Cushing, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 225-3006.
Dr Sandra Kay Dimmitt is licensed to practice in Oklahoma (license number 11700) 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 1245264894.
Physician's Profile
| Full Name | Dr Sandra Kay Dimmitt |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 1102 E 2nd St, Cushing, 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: 1245264894
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 05/01/2014
Medicare PECOS Information:
- PECOS PAC ID: 1951388990
- Enrollment ID: I20040923000751
Medical Identifiers
Medical identifiers for Dr Sandra Kay Dimmitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245264894 | NPI | - | NPPES |
| OKA103248 | Other | OK | MEDICARE PTAN |
| 100200770A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 11700 (Oklahoma) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 11700 (Oklahoma) | Secondary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 11700 (Oklahoma) | Secondary |
| 208D00000X | General Practice | 11700 (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. Dr Sandra Kay Dimmitt 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 Sandra Kay Dimmitt, MD 1102 E 2nd St, Cushing, OK 74023-4139 Ph: (918) 225-3006 | Dr Sandra Kay Dimmitt, MD 1102 E 2nd St, Cushing, OK 74023-4139 Ph: (918) 225-3006 |
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