| Mr Kyle N Lipke, PA | |
|
400 S Grand, Crescent, OK 73028-9118 | |
| (405) 969-2818 | |
| (405) 969-2821 |
| Full Name | Mr Kyle N Lipke |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 400 S Grand, Crescent, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174719389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1667 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norman Regional | Norman, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Ou Health University Of Oklahoma Medical Center | Oklahoma city, OK | Hospital |
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Mcbride Orthopedic Hospital | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 645 |
| Spectrum Healthcare Solutions, Pllc | 7618255118 | 18 |
| Spectrum Rehab Specialists Llc | 7315308616 | 5 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Entity Name | Spectrum Healthcare Solutions, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558816850 PECOS PAC ID: 7618255118 Enrollment ID: O20161104000192 |
| Entity Name | Transitional Care Organization LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861150211 PECOS PAC ID: 2961894035 Enrollment ID: O20220121002371 |
| Entity Name | Spectrum Rehab Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447934047 PECOS PAC ID: 7315308616 Enrollment ID: O20230802004474 |
| Entity Name | Clinica Family Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912783689 PECOS PAC ID: 1254863087 Enrollment ID: O20241017000736 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kyle N Lipke, PA 400 S Grand, Crescent, OK 73028-9118 Ph: (405) 969-2818 | Mr Kyle N Lipke, PA 400 S Grand, Crescent, OK 73028-9118 Ph: (405) 969-2818 |