Dr Bryan L Dalton, DO - Medicare Family Medicine in Broken Arrow, OK

Dr Bryan L Dalton, DO is a medicare enrolled "Family Medicine" physician in Broken Arrow, Oklahoma. His current practice location is 3100 S Elm Pl, Ste A, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 455-7777.

Dr Bryan L Dalton is licensed to practice in Oklahoma (license number 2780) 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 1386647428.

Contact Information

Dr Bryan L Dalton, DO
3100 S Elm Pl, Ste A,
Broken Arrow, OK 74012-7950
(918) 455-7777
(918) 455-8105



Physician's Profile

Full NameDr Bryan L Dalton
GenderMale
SpecialityFamily Medicine
Location3100 S Elm Pl, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386647428
  • Provider Enumeration Date: 05/23/2005
  • Last Update Date: 04/18/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3779647888
  • Enrollment ID: I20090203000712

Medical Identifiers

Medical identifiers for Dr Bryan L Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386647428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2780 (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 Bryan L Dalton allows following entities to bill medicare on his behalf.
Entity NameFamily Care Of Broken Arrow, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053431452
PECOS PAC ID: 2769675446
Enrollment ID: O20101026001171

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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 Bryan L Dalton 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 Bryan L Dalton, DO
3100 S Elm Pl, Ste A,
Broken Arrow, OK 74012-7950

Ph: (918) 455-7777
Dr Bryan L Dalton, DO
3100 S Elm Pl, Ste A,
Broken Arrow, OK 74012-7950

Ph: (918) 455-7777

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Family Medicine Doctors in Broken Arrow, OK

Dr. James Michael Ritze, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3100 S Elm Pl, Suite C, Broken Arrow, OK 74012
Phone: 918-451-9988    
Sujan Joshi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-455-4541    Fax: 918-449-9743
Robert Jeffrey Wright, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 W Boise Cir Ste 160, Broken Arrow, OK 74012
Phone: 918-994-9160    Fax: 918-403-6306
Christina Jane Clark, PA
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 705 W Oakland St, Broken Arrow, OK 74012
Phone: 918-251-2666    
Christopher Jason Guinn, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2617 S Elm Pl Ste 100, Broken Arrow, OK 74012
Phone: 918-455-4541    Fax: 918-449-9743
Bart Rider, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2950 S Elm Pl, Ste 160, Broken Arrow, OK 74012
Phone: 918-449-3750    Fax: 918-449-3755
Dr. Jefferey L Davis, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2021 S Elm Place, Broken Arrow, OK 74012
Phone: 918-806-6461    Fax: 918-806-6710

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