Pushmataha Family Medical Center, Inc - Medicare Primary Care in Clayton, OK

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Pushmataha Family Medical Center, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Clayton, Oklahoma. The current practice location for Pushmataha Family Medical Center, Inc is 109 Stanley Road, Clayton, Oklahoma. For appointments, you can reach them via phone at (918) 569-4143. The mailing address for Pushmataha Family Medical Center, Inc is Po Box 219, Clayton, Oklahoma and phone number is (918) 917-9999.

Pushmataha Family Medical Center, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891882676. 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) 569-4143.

Contact Information

Pushmataha Family Medical Center, Inc
109 Stanley Road
Clayton
OK 74536
(918) 569-4143
(918) 569-7343

Map and Direction


Primary Care Clinic Profile

Full NamePushmataha Family Medical Center, Inc
SpecialityClinic/Center
Location109 Stanley Road, Clayton, Oklahoma
Authorized Official Name and PositionAngela Renee Batton (CEO)
Authorized Official Contact9189179999
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pushmataha Family Medical Center, Inc
Po Box 219
Clayton
OK 74536-0219

Ph: (918) 917-9999		Pushmataha Family Medical Center, Inc
109 Stanley Road
Clayton
OK 74536

Ph: (918) 569-4143

NPI Details:

NPI Number1891882676
Provider Enumeration Date10/05/2006
Last Update Date11/17/2025

Medicare PECOS Information:

Medicare PECOS PAC ID9537189261
Medicare Enrollment IDO20081114000464

Medical Identifiers

Medical identifiers for Pushmataha Family Medical Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891882676NPI-NPPES
200072150BMedicaidOK
37D0669928OtherOKCLIA
622460OtherOKUNIVERSAL DATA SYSTEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Oklahoma)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. Pushmataha Family Medical Center, Inc acts as a billing entity for following providers:
Provider NameDonald Brooks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790754281
PECOS PAC ID: 6800080979
Enrollment ID: I20101102001312
Provider NameOlin W Fenton
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164416574
PECOS PAC ID: 5395639702
Enrollment ID: I20110104001156
Provider NameAmanda L Vandenburg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528430998
PECOS PAC ID: 0648570010
Enrollment ID: I20151208001502
Provider NameDakota S Waldroop
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1346471711
PECOS PAC ID: 4486709359
Enrollment ID: I20160120001993
Provider NameLaura Maple Turner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225297781
PECOS PAC ID: 9335414390
Enrollment ID: I20171002002487
Provider NameVu A Ngo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437565116
PECOS PAC ID: 6507176922
Enrollment ID: I20180108003005
Provider NameCody Blaine Powell
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1609350057
PECOS PAC ID: 4486991239
Enrollment ID: I20190131002997
Provider NameJodie H Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669031266
PECOS PAC ID: 3779810882
Enrollment ID: I20190813001246
Provider NameChristopher Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669021580
PECOS PAC ID: 6800228677
Enrollment ID: I20200131001583
Provider NamePaula Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992306708
PECOS PAC ID: 7214349471
Enrollment ID: I20201211000009
Provider NameDeana Rae Dungan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861005878
PECOS PAC ID: 6800294596
Enrollment ID: I20220628001742
Provider NameHeather Janelle Blagg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073296604
PECOS PAC ID: 3072960442
Enrollment ID: I20231106003494
Provider NameKelly Marie Roberts
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1790832632
PECOS PAC ID: 5294965984
Enrollment ID: I20240202002517
Provider NameBob H Womack
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1619941242
PECOS PAC ID: 0648710889
Enrollment ID: I20240913002462
Provider NameShanete Boling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881326650
PECOS PAC ID: 5698212215
Enrollment ID: I20241125004093

Reviews and Comments


Clinic/Center in Clayton, OK


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.