Pushmataha Family Medical Center, Inc
A Medicare group practice based in Boswell, OK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9537189261), with 14 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9537189261
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK
- Enrollments
- 3
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20081114000464 | OK | Part B Supplier - Clinic/Group Practice | 1891882676 |
| O20111012000715 | OK | Part A Provider - Federally Qualified Health Center (FQHC) | 1891882676 |
| O20160701000430 | OK | Part A Provider - Federally Qualified Health Center (FQHC) | 1487193819 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Pushmataha Family Medical Center Inc
dba Pushmataha Family Medical Center of Boswell
- Federally Qualified Health Center (FQHC)
- Boswell, OK
- NPI 1487193819
-
Pushmataha Family Medical Center, Inc
- Federally Qualified Health Center (FQHC)
- Clayton, OK
- NPI 1891882676
Practice locations
- Clayton, OK2
- Boswell, OK2
Clinicians 14
Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (11).
-
Shanete Kadan Boling, APRN, FNP-C
- Family Nurse Practitioner
- Hugo, OK
- NPI 1881326650
-
Donald E Brooks, D.O.
- Family Medicine Physician
- Talihina, OK
- NPI 1790754281
-
Paula Sue Brown, NP
- Family Nurse Practitioner
- Clayton, OK
- NPI 1992306708
-
Deana Rae Dungan, APRN-CNP
- Family Nurse Practitioner
- Hugo, OK
- NPI 1861005878
-
Olin W Fenton, OD
- Optometrist
- Talihina, OK
- NPI 1164416574
-
Jodie H Moore, APRN-CNP
- Family Nurse Practitioner
- Boswell, OK
- NPI 1669031266
-
Vu Ngo, D.O.
- Family Medicine Physician
- Talihina, OK
- NPI 1437565116
-
Cody Blaine Powell, DC
- Chiropractor
- Clayton, OK
- NPI 1609350057
-
Christopher Lynn Smith, APRN-CNP, FNP-BC
- Family Nurse Practitioner
- Anchorage, AK
- NPI 1669021580
-
Rebecca Smith, APRN
- Family Nurse Practitioner
- Atoka, OK
- NPI 1528600681
-
Laura M Turner, LCSW
- Clinical Social Worker
- Idabel, OK
- NPI 1225297781
-
Amanda Lyn Vandenburg, APRN-CNP
- Nurse Practitioner
- Boswell, OK
- NPI 1528430998
-
Dakota Smith Waldroop, O.D.
- Optometrist
- Talihina, OK
- NPI 1346471711
-
Bob H Womack, D.D.S
- Dentist
- Clayton, OK
- NPI 1619941242
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.