Larry Ray Tevebaugh Jr, NURSE PRACTITIONER in Oklahoma City, OK

Larry Ray Tevebaugh Jr, NURSE PRACTITIONER is a medicare enrolled "Registered Nurse - General Practice" in Oklahoma City, Oklahoma. His current practice location is 6600 Nw 134th St, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 830-5574.

Larry Ray Tevebaugh Jr is licensed to practice in Oklahoma (license number R0094181) 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 1619560984.

Contact Information

	Larry Ray Tevebaugh Jr, NURSE PRACTITIONER
	6600 Nw 134th St, Oklahoma City, OK 73142-5909
	(405) 830-5574
	Not Available

Map and Direction

Provider's Profile

Full Name	Larry Ray Tevebaugh Jr
Gender	Male
Speciality	Registered Nurse - General Practice
Location	6600 Nw 134th St, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619560984
Provider Enumeration Date: 02/17/2021
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 5092158600
Enrollment ID: I20240212001228

Medical Identifiers

Medical identifiers for Larry Ray Tevebaugh Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619560984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	R0094181 (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. Larry Ray Tevebaugh Jr allows following entities to bill medicare on his behalf.

Entity Name	The Physicians Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487620381 PECOS PAC ID: 8325950603 Enrollment ID: O20031104000641

Entity Name	Optimum Post Acute Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225774227 PECOS PAC ID: 5799162111 Enrollment ID: O20220524001222

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. Larry Ray Tevebaugh 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
Larry Ray Tevebaugh Jr, NURSE PRACTITIONER 6600 Nw 134th St, Oklahoma City, OK 73142-5909 Ph: (405) 830-5574	Larry Ray Tevebaugh Jr, NURSE PRACTITIONER 6600 Nw 134th St, Oklahoma City, OK 73142-5909 Ph: (405) 830-5574

Reviews and Comments

Registered Nurse Nurses in Oklahoma City, OK

Brandi Bybee, APRN, CNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 14100 Parkway Commons Dr Ste 200, Oklahoma City, OK 73134 Phone: 405-242-4345 Fax: 405-242-4333
Miss Balvenia Trevino, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 920 Stanton L Young Blvd Ste 1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8665
Amber Bares, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5925 Nw 139th St, Oklahoma City, OK 73142 Phone: 405-621-8800
Ngozika Amalu, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6608 N Western Ave, Oklahoma City, OK 73116 Phone: 405-862-6334
Aminatou Njikam Choutpuen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4400 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711
Miss Jordan Alexis Dove, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000
Nicole Stearns, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900 Fax: 405-948-4933

Larry Ray Tevebaugh Jr, NURSE PRACTITIONER - Medicare Registered Nurse in Oklahoma City, OK