Kenzee Kay Gambrell, PA is a medicare enrolled "Physician Assistant - Medical" in Tonkawa, Oklahoma. Her current practice location is
16603 W South Ave, Tonkawa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 557-0069.
Kenzee Kay Gambrell is licensed to practice in Oklahoma (license number 4636) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639744295.
Provider's Profile
| Full Name | Kenzee Kay Gambrell |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 16603 W South Ave, Tonkawa, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639744295
- Provider Enumeration Date: 05/25/2021
- Last Update Date: 11/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931506938
- Enrollment ID: I20210917000952
Medical Identifiers
Medical identifiers for Kenzee Kay Gambrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639744295 | NPI | - | NPPES |
| 10001201 | Other | OK | OBNDD |
| 4636 | Other | OK | STATE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 4636 (Oklahoma) | Primary |
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. Kenzee Kay Gambrell 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 |
Kenzee Kay Gambrell, PA 16603 W South Ave, Po Box 8, Tonkawa, OK 74653-4707 Ph: (580) 557-0069 | Kenzee Kay Gambrell, PA 16603 W South Ave, Tonkawa, OK 74653-4707 Ph: (580) 557-0069 |
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