Jean I Keddissi, MD - Medicare Internal Medicine in Oklahoma City, OK

Jean I Keddissi, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Oklahoma City, Oklahoma. His current practice location is 825 Ne 10th St, Oupb 2500, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-7001.

Jean I Keddissi is licensed to practice in Oklahoma (license number 20091) 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 1568430718.

Contact Information

Jean I Keddissi, MD
825 Ne 10th St, Oupb 2500,
Oklahoma City, OK 73104-5417
(405) 271-7001
Not Available



Physician's Profile

Full NameJean I Keddissi
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location825 Ne 10th St, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568430718
  • Provider Enumeration Date: 03/12/2006
  • Last Update Date: 07/03/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2264461169
  • Enrollment ID: I20050811000138

Medical Identifiers

Medical identifiers for Jean I Keddissi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568430718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 20091 (Oklahoma)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 20091 (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. Jean I Keddissi allows following entities to bill medicare on his behalf.
Entity NameBoard Of Regents Of The University Of Oklahoma - Ou Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801869250
PECOS PAC ID: 2860304334
Enrollment ID: O20031103000607

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› Verified 3 days ago

Entity NameOu Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618

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› Verified 3 days ago

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. Jean I Keddissi 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
Jean I Keddissi, MD
1122 Ne 13th St, Ori 236,
Oklahoma City, OK 73117-1039

Ph: (405) 271-1515
Jean I Keddissi, MD
825 Ne 10th St, Oupb 2500,
Oklahoma City, OK 73104-5417

Ph: (405) 271-7001

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› Verified 3 days ago


Internal Medicine Doctors in Oklahoma City, OK

Evelyn Lorents, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104
Phone: 405-271-5963    
Patrick Bronson Reeves, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112
Phone: 405-942-5442    Fax: 405-942-6448
Dr. Jake Lee Evans, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104
Phone: 405-271-5963    
Metri Haddaden, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104
Phone: 405-271-6173    Fax: 410-554-2184
Divya Sharma Divyadarshini, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104
Phone: 405-271-5963    
Dr. Philip Barton Miner, Jr., M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104
Phone: 405-271-4644    Fax: 405-271-3296
Gary Lee Worcester, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112
Phone: 405-947-3341    

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