Jack Bradley Smith, PA in Oklahoma City, OK - Medicare Physician Assistant

Jack Bradley Smith, PA is a medicare enrolled "Physician Assistant" in Oklahoma City, Oklahoma. He graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Enhanced Wound Care Llc and his current practice location is 4401 W Memorial Rd, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 751-4664.

Jack Bradley Smith is licensed to practice in Oklahoma (license number 1155) 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 1528036704.

Contact Information

	Jack Bradley Smith, PA
	4401 W Memorial Rd, Oklahoma City, OK 73134-1785
	(405) 751-4664
	(405) 749-4561

Map and Direction

Provider's Profile

Full Name	Jack Bradley Smith
Gender	Male
Speciality	Physician Assistant
Experience	24 Years
Location	4401 W Memorial Rd, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jack Bradley Smith graduated from nursing school in 2001

NPI Data:

NPI Number: 1528036704
Provider Enumeration Date: 03/14/2006
Last Update Date: 12/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2466344510
Enrollment ID: I20040325000815

Medical Identifiers

Medical identifiers for Jack Bradley Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528036704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1155 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Oklahoma Heart Hospital South, Llc	Oklahoma city, OK	Hospital
Ssm Health St Anthony Hospital - Oklahoma City	Oklahoma city, OK	Hospital
Community Hospital, Llc	Oklahoma city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Enhanced Wound Care Llc	2769877000	4

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. Jack Bradley Smith 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
Jack Bradley Smith, PA 18432 Wild Horse Trl, Norman, OK 73072-9603 Ph: (405) 760-0560	Jack Bradley Smith, PA 4401 W Memorial Rd, Oklahoma City, OK 73134-1785 Ph: (405) 751-4664

Reviews and Comments

Physician Assistant Nurses in Oklahoma City, OK

Mr. Kevin J Maxwell, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103 Phone: 405-600-6730 Fax: 405-600-6750
Nicole Lee, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900
Angie Rachel Thomas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-514-5640
Stephanie Ann Stephens, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14100 Parkway Commons Dr Ste 201, Oklahoma City, OK 73134 Phone: 405-749-2765 Fax: 405-749-6209
Brynn Perkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 535 Nw 9th St Ste 235, Oklahoma City, OK 73102 Phone: 405-772-4338 Fax: 405-772-4339
Marcia R Palmer, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 405-713-4740 Fax: 405-713-2974
Theresa L Gavula, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1200 N Phillips Ave, Suite 14500, Oklahoma City, OK 73104 Phone: 405-271-5311 Fax: 405-271-3767

Jack Bradley Smith, PA - Medicare Physician Assistant in Oklahoma City, OK