Med Southwest, Pllc - Medicare Optometrist in Broken Bow, OK

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Med Southwest, Pllc is a medicare enrolled "Optometrist" provider in Broken Bow, Oklahoma. Their current practice location is 511 S Park Dr Ste A, Broken Bow, Oklahoma. You can reach out to their office (for appointments etc.) via phone at (580) 584-3434.

Med Southwest, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Med Southwest, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174089478.

Contact Information

Med Southwest, Pllc
511 S Park Dr Ste A,
Broken Bow, OK 74728-5329
(580) 584-3434
(580) 584-3454

Map and Direction




Healthcare Provider's Profile

Full NameMed Southwest, Pllc
TypeFacility
SpecialityOptometrist
Location511 S Park Dr Ste A, Broken Bow, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174089478
  • Provider Enumeration Date: 02/12/2019
  • Last Update Date: 05/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082952874
  • Enrollment ID: O20190411000911

Medical Identifiers

Medical identifiers for Med Southwest, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174089478NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Med Southwest, Pllc acts as a billing entity for following providers:
Provider NameDawn Elaine Teel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639169766
PECOS PAC ID: 0840187035
Enrollment ID: I20040305000377
Provider NameDavid R Kolker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073618211
PECOS PAC ID: 6002803418
Enrollment ID: I20040428000559
Provider NameMonte Harrel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1740288414
PECOS PAC ID: 6608837620
Enrollment ID: I20041213000004
Provider NameEric G Baggs
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134289507
PECOS PAC ID: 8921039744
Enrollment ID: I20050822001004
Provider NameMatthew E Ozment
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669433249
PECOS PAC ID: 1254424625
Enrollment ID: I20070831000051
Provider NameDenise L Roddy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013010289
PECOS PAC ID: 4082783386
Enrollment ID: I20080513000060
Provider NameChristina L Beartrack
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356506430
PECOS PAC ID: 6002971173
Enrollment ID: I20090224000739
Provider NameBryan L Johnson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912934035
PECOS PAC ID: 1052503653
Enrollment ID: I20101013001168
Provider NameDarin Shupert
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1740378710
PECOS PAC ID: 8527257351
Enrollment ID: I20110111000121
Provider NameJerry Mullen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619073749
PECOS PAC ID: 4284742925
Enrollment ID: I20120229000449
Provider NameMitchell R Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1598881534
PECOS PAC ID: 3971762717
Enrollment ID: I20120314000106
Provider NameSavanah Janae Sayler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851647184
PECOS PAC ID: 9335396589
Enrollment ID: I20120823000543
Provider NameSteven B Moyer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215071881
PECOS PAC ID: 9537318027
Enrollment ID: I20120926000642
Provider NameKristin Rebecca Vandervoort
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912255373
PECOS PAC ID: 7911140603
Enrollment ID: I20130828000328
Provider NameElvin W Fenton
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215920442
PECOS PAC ID: 1052205465
Enrollment ID: I20130924000319
Provider NameClayton Boyd
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1720463698
PECOS PAC ID: 9436466901
Enrollment ID: I20150916000133
Provider NameDenise Burns
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1982011912
PECOS PAC ID: 3173828670
Enrollment ID: I20160222001014
Provider NameMark Ryan Lanka
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679817506
PECOS PAC ID: 9931337995
Enrollment ID: I20160916000795
Provider NameSusan L Williams
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083074363
PECOS PAC ID: 9032406186
Enrollment ID: I20160917000408
Provider NameNicholas Joseph Mccolley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104277920
PECOS PAC ID: 2860785326
Enrollment ID: I20160919000036
Provider NameKelly E Glass
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023425675
PECOS PAC ID: 7416273529
Enrollment ID: I20161215001722
Provider NamePeter G Bako
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629590450
PECOS PAC ID: 8325319304
Enrollment ID: I20170809003676
Provider NameBritton Adams
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447737960
PECOS PAC ID: 2860742723
Enrollment ID: I20180913003086
Provider NamePriscilla L Kier
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134649015
PECOS PAC ID: 9830460856
Enrollment ID: I20181018000449
Provider NameJoshua M Golden
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1255764387
PECOS PAC ID: 7113152513
Enrollment ID: I20200313000467
Provider NameGrace Young
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629491899
PECOS PAC ID: 3072800093
Enrollment ID: I20200909003095
Provider NameNattali N Masson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588273080
PECOS PAC ID: 5294153474
Enrollment ID: I20200921001731
Provider NameKatherine L Horn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871113878
PECOS PAC ID: 5092135673
Enrollment ID: I20210415000712
Provider NameTyler Steven Claunch
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093388316
PECOS PAC ID: 4183022007
Enrollment ID: I20211007001156
Provider NameNeil Hecker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417577719
PECOS PAC ID: 2769800879
Enrollment ID: I20211207001573
Provider NameBryce Ray Mcintosh
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174263792
PECOS PAC ID: 5799169710
Enrollment ID: I20220825000318
Provider NameKayla Martin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467180257
PECOS PAC ID: 3678959434
Enrollment ID: I20230828002220
Provider NameShane Ragsdale
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265720247
PECOS PAC ID: 2860665007
Enrollment ID: I20231006001546
Provider NameJoseph Pruitt
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477752913
PECOS PAC ID: 8921187477
Enrollment ID: I20240213001287
Provider NameGriffin William Trenz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699536078
PECOS PAC ID: 7618313008
Enrollment ID: I20240307002216
Provider NameHaley Trenz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1659066256
PECOS PAC ID: 5294182069
Enrollment ID: I20240530002062
Provider NameMallorie Beth Lynn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710705975
PECOS PAC ID: 8820520422
Enrollment ID: I20241021004298

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. Med Southwest, Pllc 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 AddressPractice Location Address
Med Southwest, Pllc
8614 Westwood Center Dr Fl 9,
Vienna, VA 22182-2442

Ph: (703) 847-8899		Med Southwest, Pllc
511 S Park Dr Ste A,
Broken Bow, OK 74728-5329

Ph: (580) 584-3434

Reviews and Comments


Optometrist in Broken Bow, OK

Texarkana Eye Associates-broken Bow Branch
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 511 S Park Dr, Suite A, Broken Bow, OK 74728
Phone: 580-584-3434    
Dr. Mark R Lanka, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 511 S Park Dr Ste A, Broken Bow, OK 74728
Phone: 580-584-3434    Fax: 580-584-3454

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.