Luvey Deatherage, PA-C is a medicare enrolled "Physician Assistant" in Wewoka, Oklahoma. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Immediate Care Of Oklahoma Llc and her current practice location is
36640 Old Hwy 270, Wewoka, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 257-6282.
Luvey Deatherage is licensed to practice in Oklahoma (license number 2839) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841798626.
Provider's Profile
| Full Name | Luvey Deatherage |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 36640 Old Hwy 270, Wewoka, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Luvey Deatherage graduated from nursing school in 2017
NPI Data:
- NPI Number: 1841798626
- Provider Enumeration Date: 01/26/2018
- Last Update Date: 03/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 2668729922
- Enrollment ID: I20190405000845
Medical Identifiers
Medical identifiers for Luvey Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841798626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 2839 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Immediate Care Of Oklahoma Llc | 2668540774 | 34 |
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. Luvey Deatherage allows following entities to bill medicare on her behalf.
| Entity Name | Absentee Shawnee Tribe of Oklahoma |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942253521 PECOS PAC ID: 9335053479 Enrollment ID: O20031113000654 |
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| Entity Name | Immediate Care of Oklahoma LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164697694 PECOS PAC ID: 2668540774 Enrollment ID: O20081002000355 |
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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. Luvey Deatherage 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 |
Luvey Deatherage, PA-C 15951 Little Axe Dr, Norman, OK 73026-9088 Ph: (405) 447-0300 | Luvey Deatherage, PA-C 36640 Old Hwy 270, Wewoka, OK 74884 Ph: (405) 257-6282 |
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