Jace Clinkenbeard, PT, DPT - Medicare Physical Therapist in Pawnee, OK

  1. Home
  2. Physical Therapists
  3. OK
  4. Pawnee
Jace Clinkenbeard, PT, DPT is a medicare enrolled "Physical Therapist" provider in Pawnee, Oklahoma. His current practice location is 1201 Heritage Cir, Pawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 762-2517.

Jace Clinkenbeard is licensed to practice in Oklahoma (license number 6644) 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 1992512206.

Contact Information

Jace Clinkenbeard, PT, DPT
1201 Heritage Cir,
Pawnee, OK 74058-3744
(918) 762-2517
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJace Clinkenbeard
GenderMale
SpecialityPhysical Therapist
Location1201 Heritage Cir, Pawnee, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992512206
  • Provider Enumeration Date: 12/11/2024
  • Last Update Date: 12/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254860521
  • Enrollment ID: I20250131000508

Medical Identifiers

Medical identifiers for Jace Clinkenbeard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992512206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 6644 (Oklahoma)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. Jace Clinkenbeard allows following entities to bill medicare on his behalf.
Provider NamePawnee Indian Health Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629174081
PECOS PAC ID: 2769470160
Enrollment ID: O20040504001225

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. Jace Clinkenbeard 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
Jace Clinkenbeard, PT, DPT
116 Leaning Tree Rd,
Fort Gibson, OK 74434-7611

Ph: (918) 685-0935		Jace Clinkenbeard, PT, DPT
1201 Heritage Cir,
Pawnee, OK 74058-3744

Ph: (918) 762-2517

Reviews and Comments


Physical Therapist in Pawnee, OK

Charles O Tillman Iii, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1201 Heritage Cir, Pawnee, OK 74058
Phone: 918-762-6653    Fax: 918-762-6656

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.