Jack Ryan Norgren, DO - Medicare Family Medicine in Ada, OK

Jack Ryan Norgren, DO is a medicare enrolled "Family Medicine" physician in Ada, Oklahoma. His current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 436-3980.

Jack Ryan Norgren is licensed to practice in Oklahoma (license number 7797) 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 1437787553.

Contact Information

Jack Ryan Norgren, DO
1921 Stonecipher Dr,
Ada, OK 74820-3439
(580) 436-3980
Not Available



Physician's Profile

Full NameJack Ryan Norgren
GenderMale
SpecialityFamily Medicine
Location1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437787553
  • Provider Enumeration Date: 04/01/2020
  • Last Update Date: 09/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719358811
  • Enrollment ID: I20230128000128

Medical Identifiers

Medical identifiers for Jack Ryan Norgren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437787553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 7797 (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. Jack Ryan Norgren allows following entities to bill medicare on his behalf.
Entity NameChickasaw Nation Division Of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364923
PECOS PAC ID: 8426957523
Enrollment ID: O20040108000364

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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. Jack Ryan Norgren 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
Jack Ryan Norgren, DO
1921 Stonecipher Dr,
Ada, OK 74820-3439

Ph: () -
Jack Ryan Norgren, DO
1921 Stonecipher Dr,
Ada, OK 74820-3439

Ph: (580) 436-3980

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Family Medicine Doctors in Ada, OK

David Frow, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6283
Dr. Joshua Priddle, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 905 Colony Dr, Ada, OK 74820
Phone: 580-436-5111    Fax: 580-436-1159
Dr. Joanne Chinnici, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2513 Timber Ter, Ada, OK 74820
Phone: 580-399-7716    
Marc J Davis, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 N Monte Vista St, Suite A, Ada, OK 74820
Phone: 580-310-9510    Fax: 580-436-4447
Curtis E Harris, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 905 Colony Dr, Ada, OK 74820
Phone: 580-436-5111    Fax: 580-436-1159
Patrick Mason, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Boulevard, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-421-6286
Patrick J O'neill, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1150 North Hills Centre, Ada, OK 74820
Phone: 580-332-8606    Fax: 580-332-8616

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