Beth Hites, DO
Individual provider Active NPI Family Medicine Physician · Poteau, OK
NPI 1154628113 · NPPES record last updated May 1, 2018
Key facts
- NPI
- 1154628113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5229 (OK)
- Practice address
- 105 Wall St
Poteau, OK 74953-4433 - Phone
- (918) 635-3591
- NPI assigned
- Feb 27, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leflore County Hospital Authority
Practice addresses (Care Compare)
104 Wall St
Eastern Oklahoma Medical Center
Poteau, OK 74953-4405
Phone (918) 647-8161
Hospital & facility affiliations
- Eastern Oklahoma Medical Center
- Mercy Hospital Fort Smith
- Eastern Oklahoma Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141030002033 | OK | Practitioner - Family Practice | 9830310135 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5229 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leflore County Hospital Authority | Past | Accepting new patients | |
| Leflore County Hospital Authority | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5229 | OK | |
| Family Medicine Physician | 207Q00000X | 5229 | OK | Yes |
Addresses
Primary practice location
105 Wall St
Poteau, OK 74953-4433
Mailing address
503 Wincrest Cir
Poteau, OK 74953-5491
Phone (405) 615-2070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200450490A | Medicaid | OK |
Other providers in Poteau, OK
- Cathryn M Herr
- Jami D Herring
- Ronald Nelson Hesser
- Marci Hetzel
- Kirstyn Hinds
- Jeri Hobday
- David Kent Hoegh
- Hoffman'S Aprn-CNP Medical Clinic
- Julie Ann Holland
- Jennifer L Holleman
All providers in Poteau, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.