Jackie Mcdaniel, - Physical Medicine & Rehabilitation in Ada, OK

Jackie Mcdaniel, is a Physical Medicine & Rehabilitation physician based in Ada, Oklahoma. Jackie Mcdaniel is licensed to practice in Oklahoma (license number 1265) and his current practice location is 1001 N Country Club Rd, Ada, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (580) 421-4570.

NPI number for Jackie Mcdaniel is 1073693099 and his current mailing address is 1001 N Country Club Rd, Ada, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073693099.

Contact Information

Jackie Mcdaniel,
1001 N Country Club Rd,
Ada, OK 74820-2847
(580) 421-4570
(580) 421-6283



Physician's Profile

Full NameJackie Mcdaniel
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location1001 N Country Club Rd, Ada, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073693099
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 07/23/2007

Medical Identifiers

Medical identifiers for Jackie Mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073693099NPI-NPPES
1265OtherOKOK LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 1265 (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. Jackie Mcdaniel 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
Jackie Mcdaniel,
1001 N Country Club Rd,
Ada, OK 74820-2847

Ph: (580) 421-4570
Jackie Mcdaniel,
1001 N Country Club Rd,
Ada, OK 74820-2847

Ph: (580) 421-4570

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› Verified 2 days ago


Physical Medicine & Rehabilitation Doctors in Ada, OK

Clay Warren,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1001 N Country Club Rd, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-421-6283
Lesli Barrett,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1001 N Country Club Rd, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-436-2675
Jamie Mose,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1001 N Country Club Rd, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-421-6283
Britt Johnson,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1001 N Country Club Rd, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-421-6283

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