Slade Dollarhide, is a medicare enrolled "Nurse Practitioner - Family" in Valliant, Oklahoma. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mccurtain Memorial Medical Management, Inc. and his current practice location is
101 E Terri Dr, Valliant, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 933-9300.
Slade Dollarhide is licensed to practice in Oklahoma (license number 220185) 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 1114789575.
Provider's Profile
| Full Name | Slade Dollarhide |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 101 E Terri Dr, Valliant, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Slade Dollarhide graduated from nursing school in 2024
NPI Data:
- NPI Number: 1114789575
- Provider Enumeration Date: 01/30/2024
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436683281
- Enrollment ID: I20241115001306
Medical Identifiers
Medical identifiers for Slade Dollarhide such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114789575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | R0131124 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 220185 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mccurtain Memorial Medical Management, Inc. | 8022926252 | 15 |
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. Slade Dollarhide allows following entities to bill medicare on his behalf.
| Entity Name | Mccurtain Memorial Medical Management, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629020177
PECOS PAC ID: 8022926252
Enrollment ID: O20040626000315 |
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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. Slade Dollarhide 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 |
|---|
Slade Dollarhide,
8794 Goodwater Rd,
Haworth, OK 74740-5396
Ph: () - | Slade Dollarhide,
101 E Terri Dr,
Valliant, OK 74764-6801
Ph: (580) 933-9300 |
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