Keith Gerrell Plummer, PA-C - Medicare Physician Assistant in Tishomingo, OK

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Keith Gerrell Plummer, PA-C is a medicare enrolled "Physician Assistant - Medical" 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.

Keith Gerrell Plummer is licensed to practice in Oklahoma (license number 794) 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 1932141728.

Contact Information

Keith Gerrell Plummer, PA-C
610 E 24th St,
Tishomingo, OK 73460-3245
(580) 371-2343
(580) 371-2451

Map and Direction




Provider's Profile

Full NameKeith Gerrell Plummer
GenderMale
SpecialityPhysician Assistant - Medical
Location610 E 24th St, Tishomingo, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932141728
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 11/03/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5991756181
  • Enrollment ID: I20050423000010

Medical Identifiers

Medical identifiers for Keith Gerrell Plummer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932141728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 794 (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. Keith Gerrell Plummer allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Oklahoma Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386874550
PECOS PAC ID: 1153468921
Enrollment ID: O20091027000755
Entity NameMercy Hospital Logan County, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306126818
PECOS PAC ID: 4587836200
Enrollment ID: O20121004000289
Entity NameMercy Hospital Watonga Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1497017529
PECOS PAC ID: 6305002759
Enrollment ID: O20140110000184
Entity NameMercy Hospital Kingfisher, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1285064618
PECOS PAC ID: 5395970180
Enrollment ID: O20140416000368
Entity NameMercy Hospital Tishomingo Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972809002
PECOS PAC ID: 1557542032
Enrollment ID: O20180507002045
Entity NameHaskell Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194348961
PECOS PAC ID: 1153742739
Enrollment ID: O20200608001238
Entity NameHaskell Regional Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1790307593
PECOS PAC ID: 1153742739
Enrollment ID: O20200617000979

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. Keith Gerrell Plummer 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
Keith Gerrell Plummer, PA-C
610 E 24th St,
Tishomingo, OK 73460-3245

Ph: (580) 371-2343		Keith Gerrell Plummer, PA-C
610 E 24th St,
Tishomingo, OK 73460-3245

Ph: (580) 371-2343

Reviews and Comments


Physician Assistant Nurses in Tishomingo, OK

Tommie Gay Stanberry, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 610 E 24th St, Tishomingo, OK 73460
Phone: 580-371-2343    Fax: 580-371-2451
Laura Anne Walgren, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 S Byrd St, Tishomingo, OK 73460
Phone: 580-371-2327    Fax: 580-371-2127
Elizabeth Morgan Haddock, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Byrd St, Tishomingo, OK 73460
Phone: 580-371-2327    Fax: 580-371-2127
Haley Perdue, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 817 E 6th St, Tishomingo, OK 73460
Phone: 580-371-2392    
Michael J Reyes, PA C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 817 E 6th St, Tishomingo, OK 73460
Phone: 580-371-2392    
Ralph Falconer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 610 E 24th St, Tishomingo, OK 73460
Phone: 580-371-2343    Fax: 580-371-3614

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.