Bobby Don Priddy Jr, APRN CNP in Tishomingo, OK

Bobby Don Priddy Jr, APRN CNP is a medicare enrolled "Nurse Practitioner - Family" in Tishomingo, Oklahoma. His current practice location is 610 E 24th St, Tishomingo, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 371-2343.

Bobby Don Priddy Jr is licensed to practice in Oklahoma (license number R0092060) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871097741.

Contact Information

	Bobby Don Priddy Jr, APRN CNP
	610 E 24th St, Tishomingo, OK 73460-3245
	(580) 371-2343
	(580) 218-8963

Map and Direction

Provider's Profile

Full Name	Bobby Don Priddy Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	610 E 24th St, Tishomingo, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871097741
Provider Enumeration Date: 03/23/2018
Last Update Date: 06/16/2025

Medicare PECOS Information:

PECOS PAC ID: 2466884242
Enrollment ID: I20191115002235

Medical Identifiers

Medical identifiers for Bobby Don Priddy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871097741	NPI	-	NPPES
200870040A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R0092060 (Oklahoma)	Primary

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. Bobby Don Priddy Jr allows following entities to bill medicare on his behalf.

Entity Name	Choctaw Nation Of Oklahoma
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326

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. Bobby Don Priddy Jr 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
Bobby Don Priddy Jr, APRN CNP 610 E 24th St, Tishomingo, OK 73460-3245 Ph: (580) 371-2343	Bobby Don Priddy Jr, APRN CNP 610 E 24th St, Tishomingo, OK 73460-3245 Ph: (580) 371-2343

Reviews and Comments

Nurse Practitioner Nurses in Tishomingo, OK

Una Lorraine Mcelhany, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-2451
Courtney Alisha Airington, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 817 E 6th St, Tishomingo, OK 73460 Phone: 580-371-2392
Relinda Lea Black, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-3170
Jessica D Pickens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-2451
Ashley Nicole Stites, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 W Main St, Tishomingo, OK 73460 Phone: 580-774-3548 Fax: 580-387-5031
Linda Faye Richardson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-3614
Mrs. Tammy Holder, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 817 E 6th St, Tishomingo, OK 73460 Phone: 580-371-2393

Bobby Don Priddy Jr, APRN CNP - Medicare Nurse Practitioner in Tishomingo, OK