NPIMap

Individual provider Active NPI

Deborah S Bearce, P. A.

  • Physician Assistant
  • Healdton, OK
National Provider Identifier
1679711410
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1781 Issued in OK
Practice address
3462 Hospital Rd
Healdton, OK 73438-6124
Phone
(580) 229-0701
Fax
(580) 229-1454
NPI assigned
Feb 2, 2009
Last updated
Apr 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1781 OK Primary

Addresses

Primary practice location

3462 Hospital Rd
Healdton, OK 73438-6124

Mailing address

3462 Hospital Rd
Healdton, OK 73438-6124
Phone (580) 229-0701

Other identifiers 2

IdentifierTypeStateIssuer
200227530 AMedicaidOK
P00777383OtherOKMCR RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000399 OK Practitioner - Physician Assistant 5092871525 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wound Care of Oklahoma LLCGroup PAC ID 1254724081, 15 clinicians

Practice addresses (Care Compare)

1900 NW Expressway
Suite 800
Oklahoma City, OK 73118-1804
Phone (405) 246-0811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Healdton, Inc CurrentSince Jan 26, 2014 Accepting new patients
Grady Memorial Hospital CurrentSince Feb 9, 2009 Accepting new patients
Grady Memorial Hospital CurrentSince Feb 9, 2009 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Mercy Hospital Healdton, Inc. Past Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

Interoperability endpoints

  • Direct secure messaging: deborah.bearce@133635819438084.direct.elationemr.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1679711410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3462 HOSPITAL RD",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734386124",
            "telephone_number": "580-229-0701",
            "fax_number": "580-229-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3462 HOSPITAL RD",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734386124",
            "telephone_number": "580-229-0701",
            "fax_number": "580-229-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARCE",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "P. A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200227530 A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD",
            "identifier": "P00777383",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdton, OK

Sources for this page

Verify at the official NPI Registry.