Mr Erron Cody Proctor, PAC in Konawa, OK - Medicare Physician Assistant

Mr Erron Cody Proctor, PAC is a medicare enrolled "Physician Assistant - Medical" in Konawa, Oklahoma. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Central Oklahoma Family Medical Center Inc and his current practice location is 527 W 3rd St, Konawa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 925-3286.

Mr Erron Cody Proctor is licensed to practice in Oklahoma (license number 1410) 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 1427067859.

Contact Information

	Mr Erron Cody Proctor, PAC
	527 W 3rd St, Konawa, OK 74849-1415
	(580) 925-3286
	(580) 925-2362

Map and Direction

Provider's Profile

Full Name	Mr Erron Cody Proctor
Gender	Male
Speciality	Physician Assistant
Experience	22 Years
Location	527 W 3rd St, Konawa, 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:

Mr Erron Cody Proctor graduated from nursing school in 2004

NPI Data:

NPI Number: 1427067859
Provider Enumeration Date: 08/05/2006
Last Update Date: 11/19/2021

Medicare PECOS Information:

PECOS PAC ID: 5395791966
Enrollment ID: I20100521000421

Medical Identifiers

Medical identifiers for Mr Erron Cody Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427067859	NPI	-	NPPES
200072810A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1410 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Ada	Ada, OK	Hospital
Chickasaw Nation Medical Center	Ada, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Oklahoma Family Medical Center Inc	9931189685	55

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. Mr Erron Cody Proctor 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
Mr Erron Cody Proctor, PAC Po Box 358, 527 West 3rd St, Konawa, OK 74849 Ph: (580) 925-3286	Mr Erron Cody Proctor, PAC 527 W 3rd St, Konawa, OK 74849-1415 Ph: (580) 925-3286

Reviews and Comments

Physician Assistant Nurses in Konawa, OK

Gwendolyn Lyles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286
Tina Marie Wainwright, P.A-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-9149
William A Mccullough, PA-C, MCMSC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-9149

Mr Erron Cody Proctor, PAC - Medicare Physician Assistant in Konawa, OK