Deacon Vice, DO - Medicare Emergency Medicine in Oklahoma City, OK

Deacon Vice, DO is a medicare enrolled "Emergency Medicine" physician in Oklahoma City, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Grady Memorial Hospital and his current practice location is 4200 S Douglas Ave, Suite 306, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 636-7709.

Deacon Vice is licensed to practice in Oklahoma (license number 5644) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073934352.

Contact Information

Deacon Vice, DO
4200 S Douglas Ave, Suite 306,
Oklahoma City, OK 73109-3223
(405) 636-7709
Not Available



Physician's Profile

Full NameDeacon Vice
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location4200 S Douglas Ave, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Deacon Vice attended and graduated from University Of Oklahoma College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1073934352
  • Provider Enumeration Date: 01/03/2014
  • Last Update Date: 10/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7214159581
  • Enrollment ID: I20141121000573

Medical Identifiers

Medical identifiers for Deacon Vice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073934352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5644 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifeline Hospice, Inc.Chickasha, OKHospice
Grady Memorial HospitalChickasha, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grady Memorial Hospital064817577836

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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. Deacon Vice allows following entities to bill medicare on his behalf.
Entity NameGrady Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750370268
PECOS PAC ID: 0648175778
Enrollment ID: O20031203000193

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Entity NameCarnegie Tri-county Municipal Hospital Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275657017
PECOS PAC ID: 6800835935
Enrollment ID: O20050429000480

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Entity NameHospital Care Consultants Region Ii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558491449
PECOS PAC ID: 8820197064
Enrollment ID: O20070727000300

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Entity NameEmergency Services Of Oklahoma Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215249891
PECOS PAC ID: 8123209012
Enrollment ID: O20110225000085

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Entity NameSouth Central Emergency Services, Pc
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Entity IdentifiersNPI Number: 1558663724
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Enrollment ID: O20110405000201

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Entity NameOklahoma Emergency Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114239795
PECOS PAC ID: 3678757010
Enrollment ID: O20110411000211

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Entity NameEmergency Physicians Of Mid-america Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063825297
PECOS PAC ID: 2062638661
Enrollment ID: O20140716001692

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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. Deacon Vice 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
Deacon Vice, DO
4200 S. Douglas, Suite 306,
Oklahoma Ciry, OK 73109

Ph: () -
Deacon Vice, DO
4200 S Douglas Ave, Suite 306,
Oklahoma City, OK 73109-3223

Ph: (405) 636-7709

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Emergency Medicine Doctors in Oklahoma City, OK

Dr. Hunter Dale Cook, D.O
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109
Phone: 405-636-7709    
Alejandro Anzaldua, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 900 Ne 10th St, Fmc 2102, Oklahoma City, OK 73104
Phone: 405-271-2230    
Dr. Diana Dee Mills-maloney, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10312 Creek Meadow Dr, Oklahoma City, OK 73151
Phone: 405-771-3577    
Dr. David Brennan, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109
Phone: 405-636-7000    
Aaron Daniel Jones, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109
Phone: 405-636-7000    
Dr. David M. Abercrombie, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1624 Grey Fox Run, Oklahoma City, OK 73131
Phone: 405-478-3969    Fax: 405-478-3815
Dr. Amy L. Sparkman, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 940 Ne 13th St, Oklahoma City, OK 73104
Phone: 405-271-2429    

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