Active NPI
Catherine Falgout Wilcox, PA-C
- Physician Assistant
- Muskogee, OK
National Provider Identifier
1578079950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2875
- Practice address
- 1101 Honor Heights Dr
Muskogee, OK 74401-1302 - Phone
- (918) 577-3000
- NPI assigned
- Dec 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2875 | OK | Primary |
Addresses
Primary practice location
1101 Honor Heights Dr
Muskogee, OK 74401-1302
Mailing address
22161 S Wildwood PL
Claremore, OK 74019-1821
Phone (985) 855-4436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260120000500 | OK | Practitioner - Physician Assistant | 5991282188 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advance Physicians Group
Practice addresses (Care Compare)
3103 Azalea Park Dr
Muskogee, OK 74401-2210
Phone (405) 759-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2875 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physicians Group | Current | Accepting new patients |
Locations
3103 Azalea Park Dr
Muskogee, OK 74401
Phone (405) 759-4300
2100 W Lindsey St
#B
Norman, OK 73069
Phone (405) 310-7055
4510 NW 39th St
Oklahoma City, OK 73122
Phone (405) 495-5841
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715990400000",
"number": "1578079950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22161 S WILDWOOD PL",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740191821",
"telephone_number": "985-855-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HONOR HEIGHTS DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744011302",
"telephone_number": "918-577-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "CATHERINE",
"middle_name": "FALGOUT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2024-05-18",
"certification_date": "2024-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.