Family Physician in Ada, OK - Medicare Family Medicine

Family Physician is a medicare enrolled primary clinic (Family Medicine) in Ada, Oklahoma. The current practice location for Family Physician is 1509 Augusta Dr, Ada, Oklahoma. For appointments, you can reach them via phone at (918) 728-4942. The mailing address for Family Physician is 1509 Augusta Dr, Ada, Oklahoma and phone number is (918) 728-4942.

Family Physician is licensed to practice in Oklahoma (license number 5857). The clinic also participates in the medicare program and its NPI number is 1124531736. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (918) 728-4942.

Contact Information

	Family Physician
	1509 Augusta Dr Ada OK 74820-8576
	(918) 728-4942
	(918) 770-8456

Map and Direction

Primary Care Clinic Profile

Full Name	Family Physician
Speciality	Family Medicine
Location	1509 Augusta Dr, Ada, Oklahoma
Authorized Official Name and Position	Valerie M Pack (FAMILY PHYSICIAN)
Authorized Official Contact	9187284942
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Family Physician 1509 Augusta Dr Ada OK 74820-8576 Ph: (918) 728-4942	Family Physician 1509 Augusta Dr Ada OK 74820-8576 Ph: (918) 728-4942

NPI Details:

NPI Number	1124531736
Provider Enumeration Date	11/06/2017
Last Update Date	08/23/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	0345507851
Medicare Enrollment ID	O20171207001975

Medical Identifiers

Medical identifiers for Family Physician such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124531736	NPI	-	NPPES
200654670A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5857 (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. Family Physician acts as a billing entity for following providers:

Provider Name	Valerie Marie Pack
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1467847921 PECOS PAC ID: 2769766468 Enrollment ID: I20170224000280

Reviews and Comments

Family Medicine in Ada, OK

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Myhealth Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 N Broadway Ave, Ada, OK 74820 Phone: 405-594-0191
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Family Physician - Medicare Primary Care in Ada, OK