Samuel Kimbrough, PA-C in Edmond, OK - Medicare Physician Assistant

Samuel Kimbrough, PA-C is a medicare enrolled "Physician Assistant" in Edmond, Oklahoma. His current practice location is 1701 Renaissance Blvd Ste 110, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 844-4978.

Samuel Kimbrough is licensed to practice in * (Not Available) (license number ) 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 1265134498.

Contact Information

	Samuel Kimbrough, PA-C
	1701 Renaissance Blvd Ste 110, Edmond, OK 73013-3084
	(405) 844-4978
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel Kimbrough
Gender	Male
Speciality	Physician Assistant
Location	1701 Renaissance Blvd Ste 110, Edmond, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265134498
Provider Enumeration Date: 03/21/2023
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 8123485364
Enrollment ID: I20230605000376

Medical Identifiers

Medical identifiers for Samuel Kimbrough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265134498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Samuel Kimbrough 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
Samuel Kimbrough, PA-C 301 N Walker Ave Apt 8101, Oklahoma City, OK 73102-1871 Ph: (580) 721-0409	Samuel Kimbrough, PA-C 1701 Renaissance Blvd Ste 110, Edmond, OK 73013-3084 Ph: (405) 844-4978

Reviews and Comments

Physician Assistant Nurses in Edmond, OK

Treka B Wenner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 46 E 15th St, Edmond, OK 73013 Phone: 405-844-5210
Mark Patrick Stout, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18503 N Portland Ave, Edmond, OK 73012 Phone: 405-531-4273 Fax: 405-531-4274
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Mrs. Tanya M Keck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16205 N Pennsylvania Ave, Access Medical Centers, Edmond, OK 73013 Phone: 405-705-5700 Fax: 405-705-5698
Taylor L Beaird, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100
Rosa J. Rios, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4801 Integris Pkwy, Edmond, OK 73034 Phone: 405-657-3000
Whitney T Mashburn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1616 S Kelly Ave, Edmond, OK 73013 Phone: 405-285-8823 Fax: 405-285-8824

Samuel Kimbrough, PA-C - Medicare Physician Assistant in Edmond, OK