Fairview Regional Medical Center Authority
A Medicare group practice based in Fairview, OK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4183943186), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4183943186
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK
- Enrollments
- 4
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20150424001440 | OK | Part A Provider - Critical Access Hospital | 1033153309 |
| O20150424000154 | OK | Part A Provider - Rural Health Clinic | 1356379309 |
| O20150501000163 | OK | Part B Supplier - Clinic/Group Practice | 1316981657 |
| O20150424001584 | OK | Part A Provider - Critical Access Hospital | 1053357210 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Fairview Regional Medical Center Authority
dba Fairview Regional Medical Center
- Critical Access Hospital
- Fairview, OK
- NPI 1033153309
-
Fairview Regional Medical Center Authority
- Critical Access Hospital
- Fairview, OK
- NPI 1053357210
-
Fairview Regional Medical Center Authority
dba Fairview Family Clinic
- Family Medicine Physician
- Fairview, OK
- NPI 1316981657
-
Fairview Regional Medical Center Authority
dba Fairview Family Clinic
- Family Medicine Physician
- Fairview, OK
- NPI 1356379309
Practice locations
- Fairview, OK4
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (4).
-
Solomon Ali, M.D.
- General Practice Physician
- Fairview, OK
- NPI 1588666010
-
Jerry Braziel, P.A.-C
- Medical Physician Assistant
- Fairview, OK
- NPI 1528462603
-
Raegan Dewilde
- Medical Physician Assistant
- Fairview, OK
- NPI 1780226084
-
Kaylea Drapalla, LCSW
- Clinical Social Worker
- Enid, OK
- NPI 1760849533
-
Larry Shane Elliott
- Family Medicine Physician
- Fairview, OK
- NPI 1770933277
-
Megan Leigh Ewing, APRN-CNP
- Family Nurse Practitioner
- Fairview, OK
- NPI 1598212664
-
John Allison Hensley, M.D.
- Family Medicine Physician
- Enid, OK
- NPI 1841252483
-
Timothy Brian Jones, M.D.
- Emergency Medicine Physician
- Dimmitt, TX
- NPI 1477515286
-
Elizabeth Ann Kimball, APN FNP-BC
- Family Nurse Practitioner
- Fairview, OK
- NPI 1225465768
-
Donald Klinger, D.O.
- Family Medicine Physician
- Fairview, OK
- NPI 1437185667
-
Andrea Ellen McEachern, DO
- Family Medicine Physician
- Fairview, OK
- NPI 1114105640
-
John Price, M.D.
- Emergency Medicine Physician
- Enid, OK
- NPI 1376560904
-
Robert Gordon Spencer, MD
- Family Medicine Physician
- Watonga, OK
- NPI 1639180318
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.