Diana L Defelice, DO - Medicare Family Medicine in Owasso, OK

Diana L Defelice, DO is a medicare enrolled "Family Medicine" physician in Owasso, Oklahoma. Her current practice location is 13616 E 103rd St N, Ste A, Owasso, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 274-8555.

Diana L Defelice is licensed to practice in Oklahoma (license number 2160) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649262270.

Contact Information

Diana L Defelice, DO
13616 E 103rd St N, Ste A,
Owasso, OK 74055-4586
(918) 274-8555
(918) 274-8556



Physician's Profile

Full NameDiana L Defelice
GenderFemale
SpecialityFamily Medicine
Location13616 E 103rd St N, Owasso, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649262270
  • Provider Enumeration Date: 08/19/2005
  • Last Update Date: 10/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2668568866
  • Enrollment ID: I20071019000040

Medical Identifiers

Medical identifiers for Diana L Defelice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649262270NPI-NPPES
100768880IOtherOKSONICARE MEDICAID
100088200BMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2160 (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. Diana L Defelice allows following entities to bill medicare on her behalf.
Entity NameSt John Urgent Care Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003918830
PECOS PAC ID: 5890898084
Enrollment ID: O20070308000190

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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. Diana L Defelice 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
Diana L Defelice, DO
1717s Utica Ave A,
Tulsa, OK 74104-5346

Ph: (918) 748-1300
Diana L Defelice, DO
13616 E 103rd St N, Ste A,
Owasso, OK 74055-4586

Ph: (918) 274-8555

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Family Medicine Doctors in Owasso, OK

Bryan Vannuel Marsh, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 13616 E 103rd Street N, Suite A, Owasso, OK 74055
Phone: 918-274-8555    Fax: 918-274-8556
Dr. David Lee Smith, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 13600 E 86th St N, Ste 100, Owasso, OK 74055
Phone: 918-272-9313    Fax: 918-403-6311
Sharon Sodano Barnes, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13600 E 86th St N, Owasso, OK 74055
Phone: 918-272-2247    
Dr. Jack Robin Snedden Iii, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10502 North 110th East Avenue, Owasso, OK 74055
Phone: 918-376-8590    Fax: 918-376-8549
Dr. Keith Stacy Patterson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10512 North 110th East Avenue, Owasso, OK 74055
Phone: 918-376-8900    Fax: 918-272-7475
Chelsea Leigh Mcdonald, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8551 N 125th East Ave Ste 175, Owasso, OK 74055
Phone: 918-265-3797    
Caleb Nunley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12455 E 100th St N, Ste. 120, Owasso, OK 74055
Phone: 918-272-9464    Fax: 918-272-9512

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