Jack T Dancer I, MD - Surgery in Stillwater, OK

Jack T Dancer I, MD is a Surgery physician based in Stillwater, Oklahoma. Jack T Dancer I is licensed to practice in Oklahoma (license number 7845) and his current practice location is 1301 W 6th Ave, Suite 105, Stillwater, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 533-1074.

NPI number for Jack T Dancer I is 1235212630 and his current mailing address is 1301 W 6th Ave, Suite 105, Stillwater, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235212630.

Contact Information

Jack T Dancer I, MD
1301 W 6th Ave, Suite 105,
Stillwater, OK 74074-4375
(405) 533-1074
Not Available



Physician's Profile

Full NameJack T Dancer I
GenderMale
SpecialitySurgery
Location1301 W 6th Ave, Stillwater, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235212630
  • Provider Enumeration Date: 10/23/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jack T Dancer I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235212630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 7845 (Oklahoma)Primary

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 T Dancer I is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack T Dancer I, MD
1301 W 6th Ave, Suite 105,
Stillwater, OK 74074-4375

Ph: (405) 533-1074
Jack T Dancer I, MD
1301 W 6th Ave, Suite 105,
Stillwater, OK 74074-4375

Ph: (405) 533-1074

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Surgery Doctors in Stillwater, OK

Joshua Chitwood, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1323 W 6th Ave, Stillwater, OK 74074
Phone: 405-372-1480    
Jerrod Lee Vaughn, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1301 W 6th Ave Ste 105, Stillwater Surgical Associates, Stillwater, OK 74074
Phone: 405-533-1074    Fax: 405-533-2642
Cara Denise Pence, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1301 W 6th Ave Ste 105, Stillwater, OK 74074
Phone: 405-533-1074    Fax: 405-533-6074

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