Mr Jackie Barton Mccarter, APRN is a medicare enrolled "Nurse Practitioner" in Calera, Oklahoma. His current practice location is
312 S 3rd St, Calera, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 775-5166.
Mr Jackie Barton Mccarter is licensed to practice in Texas (license number 1192391) 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 1215742135.
Provider's Profile
| Full Name | Mr Jackie Barton Mccarter |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 312 S 3rd St, Calera, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215742135
- Provider Enumeration Date: 02/10/2025
- Last Update Date: 03/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496272676
- Enrollment ID: I20250512000394
Medical Identifiers
Medical identifiers for Mr Jackie Barton Mccarter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215742135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WE0003X | Registered Nurse - Emergency | 907445 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 1192391 (Texas) | 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. Mr Jackie Barton Mccarter allows following entities to bill medicare on his behalf.
| Entity Name | Nr Ardmore Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720885981
PECOS PAC ID: 7214451186
Enrollment ID: O20250411003383 |
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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. Mr Jackie Barton Mccarter 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 Jackie Barton Mccarter, APRN
312 S 3rd St,
Calera, OK 74730-1368
Ph: (903) 416-4100 | Mr Jackie Barton Mccarter, APRN
312 S 3rd St,
Calera, OK 74730-1368
Ph: (580) 775-5166 |
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