Kelly Van Davis, MD - Medicare Internal Medicine in Wagoner, OK

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Kelly Van Davis, MD is a medicare enrolled "Internal Medicine" physician in Wagoner, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice National Family Medical Associates, Llc and his current practice location is 1202 W Cherokee St Ste H, Wagoner, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 614-5533.

Kelly Van Davis is licensed to practice in Oklahoma (license number 23418) 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 1871554139.

Contact Information

Kelly Van Davis, MD
1202 W Cherokee St Ste H,
Wagoner, OK 74467-4629
(918) 614-5533
(918) 485-6020

Map and Direction




Physician's Profile

Full NameKelly Van Davis
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location1202 W Cherokee St Ste H, Wagoner, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Van Davis attended and graduated from University Of Oklahoma College Of Medicine in 2003
  NPI Data:
  • NPI Number: 1871554139
  • Provider Enumeration Date: 03/28/2006
  • Last Update Date: 10/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6002824323
  • Enrollment ID: I20060719000251

Medical Identifiers

Medical identifiers for Kelly Van Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871554139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 23418 (Oklahoma)Secondary
207RR0500XInternal Medicine - Rheumatology 23418 (Oklahoma)Secondary
207R00000XInternal Medicine 23418 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Complete Home Health Of Western OklahomaEnid, OKHome health agency
St John Medical Center, IncTulsa, OKHospital
Saint Francis Hospital, IncTulsa, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
National Family Medical Associates, Llc721431334545

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. Kelly Van Davis allows following entities to bill medicare on his behalf.
Entity NameWagoner Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386611580
PECOS PAC ID: 0042217531
Enrollment ID: O20061214000095
Entity NameCreek Nation Hospital & Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366593923
PECOS PAC ID: 5698786226
Enrollment ID: O20070821000130
Entity NameNational Family Medical Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477287720
PECOS PAC ID: 7214313345
Enrollment ID: O20220927002974

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. Kelly Van Davis 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
Kelly Van Davis, MD
10907 S Knoxville Ave,
Tulsa, OK 74137-6624

Ph: (918) 978-5588		Kelly Van Davis, MD
1202 W Cherokee St Ste H,
Wagoner, OK 74467-4629

Ph: (918) 614-5533

Reviews and Comments


Internal Medicine Doctors in Wagoner, OK

Dr. Chelsea C Mcgee, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1202 W Cherokee St, Suite B, Wagoner, OK 74467
Phone: 918-485-1326    Fax: 918-512-4021
Dr. Leon Jay Yoder, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1202 W Cherokee St Ste C, Wagoner, OK 74467
Phone: 918-485-1205    Fax: 918-485-1695
Mrs. Kammie Marie Caldwell, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2109 S Highway 69, Wagoner, OK 74467
Phone: 918-485-6069    Fax: 888-815-0475

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.