Larry Ray Tevebaugh Jr, NURSE PRACTITIONER in Yukon, OK

Larry Ray Tevebaugh Jr, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Yukon, Oklahoma. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Optimum Post Acute Care Pllc and his current practice location is 4400 Grant Blvd, Yukon, 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 1619560984) 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 1619560984.

Contact Information

	Larry Ray Tevebaugh Jr, NURSE PRACTITIONER
	4400 Grant Blvd, Yukon, OK 73099-0037
	(405) 830-5574
	Not Available

Map and Direction

Provider's Profile

Full Name	Larry Ray Tevebaugh Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	4400 Grant Blvd, Yukon, 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:

Larry Ray Tevebaugh Jr graduated from nursing school in 2021

NPI Data:

NPI Number: 1619560984
Provider Enumeration Date: 02/17/2021
Last Update Date: 05/11/2026

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
363L00000X	Nurse Practitioner	1619560984 (Oklahoma)	Primary
163WG0000X	Registered Nurse - General Practice	R0094181 (Oklahoma)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optimum Post Acute Care Pllc	5799162111	17

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 4400 Grant Blvd, Yukon, OK 73099-0037 Ph: (405) 787-8550	Larry Ray Tevebaugh Jr, NURSE PRACTITIONER 4400 Grant Blvd, Yukon, OK 73099-0037 Ph: (405) 830-5574

Reviews and Comments

Nurse Practitioner Nurses in Yukon, OK

Rhonda Mose, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11900 Nw Expressway, Yukon, OK 73099 Phone: 405-283-9300 Fax: 405-283-9301
Mr. Zachary Adam Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1445 Health Center Pkwy, Yukon, OK 73099 Phone: 405-577-6701
Lisa Marie Sullivan, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1491 Health Center Pkwy, Yukon, OK 73099 Phone: 405-806-2200 Fax: 405-806-2207
Tracye Fowler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10948 Nw Expressway, Yukon, OK 73099 Phone: 405-883-1086 Fax: 405-883-1127
Priya John, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Justin Dr, Yukon, OK 73099 Phone: 405-473-3058
Angie Osborn, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 S Ranchwood Blvd Ste 203, Yukon, OK 73099 Phone: 405-914-6634 Fax: 405-914-6693
Amanda Oblander, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 S Mustang Rd, Yukon, OK 73099 Phone: 405-936-5910 Fax: 405-577-2605

Larry Ray Tevebaugh Jr, NURSE PRACTITIONER - Medicare Nurse Practitioner in Yukon, OK