Dr Samuel Diskerud, - Medicare Chiropractor in Owasso, OK

Dr Samuel Diskerud, is a medicare enrolled "Chiropractor" provider in Owasso, Oklahoma. His current practice location is 425 E 22nd St Ste 102, Owasso, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 376-4117.

Dr Samuel Diskerud is licensed to practice in Oklahoma (license number 4565) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689459208.

Contact Information

Dr Samuel Diskerud,
425 E 22nd St Ste 102,
Owasso, OK 74055-4492
(918) 376-4117
Not Available



Healthcare Provider's Profile

Full NameDr Samuel Diskerud
GenderMale
SpecialityChiropractor
Location425 E 22nd St Ste 102, Owasso, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689459208
  • Provider Enumeration Date: 08/30/2023
  • Last Update Date: 08/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597119776
  • Enrollment ID: I20230921001189

Medical Identifiers

Medical identifiers for Dr Samuel Diskerud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689459208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 4565 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samuel Diskerud allows following entities to bill medicare on his behalf.
Provider NamePeak Wellness Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1871930081
PECOS PAC ID: 8224270723
Enrollment ID: O20130813000524

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Diskerud is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samuel Diskerud,
425 E 22nd St Ste 102,
Owasso, OK 74055-4492

Ph: (918) 376-4117
Dr Samuel Diskerud,
425 E 22nd St Ste 102,
Owasso, OK 74055-4492

Ph: (918) 376-4117

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Chiropractor in Owasso, OK

Green Country Chiropractic Llc
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 11560 N 135th East Ave Ste 101a, Owasso, OK 74055
Phone: 918-553-6770    
Standridge Clinic Inc
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 12707 E 86th St N, Owasso, OK 74055
Phone: 918-272-7432    Fax: 918-272-7448
Dr. Jonathan Ballard, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 435 E 2nd Ave, Owasso, OK 74055
Phone: 918-272-8054    Fax: 918-274-8044
Choice Chiropractic & Acupuncture, P.l.l.c.
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 8805 N 145th East Ave, Ste. 103, Owasso, OK 74055
Phone: 918-274-9299    Fax: 918-274-9220
Dr. Tracy L. Standridge, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 12707 East 86th Street North, Owasso, OK 74055
Phone: 918-272-7432    Fax: 918-272-7448
Dr. Joel Elvin Johnson, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 13720 E 86th St N, Suite 130, Owasso, OK 74055
Phone: 918-274-3888    Fax: 918-274-3894
Ashlock Chiropractic Pc
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Medicare: Medicare Enrolled
Practice Location: 12899 E 76th St N Ste 101, Owasso, OK 74055
Phone: 918-272-0444    Fax: 918-272-0447

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