Kelsey M Two Bears, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

800 W Forrest Ave
Eufaula, OK 74432-3249

Phone

(918) 689-2547

NPI assigned

Jan 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cherokee Indian Hospital AuthorityGroup PAC ID 2062320393, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cherokee Indian Hospital Authority Hospital, Cherokee, NC, CCN 340156

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ktwobears17851@muscogeecreeknation.direct-ci.com

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.

• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348

  TX

  Medicare reassignment Care Compare group NPD (past)
• Creek Nation Hospital & Clinics

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment NPD
• Cherokee Indian Hospital Authority

  • Family Medicine Physician
  • Cherokee, NC
  • NPI 1285713859
  NPD
• Cherokee Indian Hospital Authority

  • Methadone Clinic
  • Cherokee, NC
  • NPI 1295336386
  NPD
• Cherokee Indian Hospital Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1740727809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCN PRIMARY CLINICS",
            "address_2": "DEPT # 1467",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741820001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W FORREST AVE",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323249",
            "telephone_number": "918-689-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWO BEARS",
        "first_name": "KELSEY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Glenn Tadlock
• Pamela Thompson, BA
• Total Renal Care, Inc.
• Traditions Health Care of Eufaula, LLC
• Ashely Dawn Trammel
• Cynthia Paula Vanpool
• Reynada Leneigh Wall
• Paige Ashley Weatherford
• Austin Shan Weiher, DPT
• Donnica Welch, PTA

• Physician Assistant in Eufaula, OK
• Providers in Eufaula, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.

Verify at the official NPI Registry.