Jacy D Donnelly, DO - Medicare Psychiatry in Broken Arrow, OK

Jacy D Donnelly, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Broken Arrow, Oklahoma. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Parkside, Inc. and her current practice location is 512 W Atlanta St, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 370-4461.

Jacy D Donnelly is licensed to practice in Oklahoma (license number 7721) 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 1457937138.

Contact Information

Jacy D Donnelly, DO
512 W Atlanta St,
Broken Arrow, OK 74012-7004
(918) 370-4461
(918) 512-4723

Map and Direction




Physician's Profile

Full NameJacy D Donnelly
GenderFemale
SpecialityPsychiatry
Experience5 Years
Location512 W Atlanta St, Broken Arrow, 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:
  • Jacy D Donnelly graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1457937138
  • Provider Enumeration Date: 03/22/2021
  • Last Update Date: 07/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0345745956
  • Enrollment ID: I20250924004702

Medical Identifiers

Medical identifiers for Jacy D Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457937138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 7721 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Parkside, Inc.549664404914

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. Jacy D Donnelly 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
Jacy D Donnelly, DO
5310 E 31st St Ste Ll,
Tulsa, OK 74135-5018

Ph: (918) 236-4000
Jacy D Donnelly, DO
512 W Atlanta St,
Broken Arrow, OK 74012-7004

Ph: (918) 370-4461

Reviews and Comments


Psychiatry & Neurology Doctors in Broken Arrow, OK

Maria Arquisola, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8937 S Garnett Rd, Broken Arrow, OK 74012
Phone: 918-872-9777    Fax: 918-872-9779
Stephen Lester Greer, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 817 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-251-4976    
Stephen Cates, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1123 W Austin St, Broken Arrow, OK 74011
Phone: 479-420-1146    
Dr. Lori Colleen Miller, D.O.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 8937 S Garnett Rd, Broken Arrow, OK 74012
Phone: 918-872-9777    Fax: 918-872-9779

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.