Dr Justin B Plaxico, DO - Medicare General Surgery in Ada, OK

Dr Justin B Plaxico, DO is a medicare enrolled "Surgery" physician in Ada, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mercy Clinic Oklahoma Communities and his current practice location is 435 N Monte Vista St, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 310-0102.

Dr Justin B Plaxico is licensed to practice in Oklahoma (license number 3875) 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 1518996958.

Contact Information

Dr Justin B Plaxico, DO
435 N Monte Vista St,
Ada, OK 74820-4676
(580) 310-0102
(580) 310-0104



Physician's Profile

Full NameDr Justin B Plaxico
GenderMale
SpecialityGeneral Surgery
Experience24 Years
Location435 N Monte Vista St, Ada, 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:
  • Dr Justin B Plaxico attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2000
  NPI Data:
  • NPI Number: 1518996958
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 08/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820079452
  • Enrollment ID: I20040528000222

Medical Identifiers

Medical identifiers for Dr Justin B Plaxico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518996958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 3875 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital AdaAda, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Oklahoma Communities1153468921485

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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. Dr Justin B Plaxico allows following entities to bill medicare on his behalf.
Entity NameChoctaw County City Of Hugo Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881689289
PECOS PAC ID: 8022921519
Enrollment ID: O20031111000136

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Entity NameMercy Clinic Oklahoma Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386874550
PECOS PAC ID: 1153468921
Enrollment ID: O20091027000755

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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 Justin B Plaxico 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 Justin B Plaxico, DO
435 N Monte Vista St,
Ada, OK 74820-4676

Ph: (580) 310-0102
Dr Justin B Plaxico, DO
435 N Monte Vista St,
Ada, OK 74820-4676

Ph: (580) 310-0102

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Surgery Doctors in Ada, OK

Dr. Danielle Renee Burkdoll, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6283
Dr. Celeste Coleen Adrian, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 435 N Monte Vista St, Ada, OK 74820
Phone: 580-310-0102    Fax: 580-310-0104
Dr. Dezarae Leto, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    
Ghaith Al-qudah, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 435 N Monte Vista St, Ada, OK 74820
Phone: 580-310-0102    Fax: 580-310-0104
Dr. Larry E Adams, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6205
Mr. Robert Luther Waddell, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 435 N Monte Vista, Ada, OK 74820
Phone: 580-310-0102    Fax: 580-310-0104

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