Pamela Lynn Bookout, LCSW

Individual provider Active NPI Social Worker · Beggs, OK

NPI 1801113642 · NPPES record last updated Oct 2, 2024

Key facts

NPI
1801113642
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
916 W 5TH St
Beggs, OK 74421-3608
Phone
(580) 484-0300
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

206 Triple J LN
Caddo, OK 74729-4230
Phone (580) 308-0067

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140623001947 OK Practitioner - Clinical Social Worker 9436373933 Reassigns benefits to 1 organization
Practice locations: Beggs, OK

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Bookout Counseling Services, PLLC Current
since Jan 9, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

916 W 5TH St
Beggs, OK 74421-3608

Mailing address

916 W 5TH St
Beggs, OK 74421-3608
Phone (580) 484-0300

Other providers in Beggs, OK

All providers in Beggs, OK · Social Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.