Kimberly Michelle Roark, MD - Medicare Obstetrics/gynecology in Ada, OK

Kimberly Michelle Roark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ada, Oklahoma. She went to University Of Alabama School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Chickasaw Nation Division Of Health and her current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-3980.

Kimberly Michelle Roark is licensed to practice in Oklahoma (license number 28987) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992965602.

Contact Information

Kimberly Michelle Roark, MD
1921 Stonecipher Dr,
Ada, OK 74820-3439
(580) 436-3980
Not Available



Physician's Profile

Full NameKimberly Michelle Roark
GenderFemale
SpecialityObstetrics/gynecology
Experience16 Years
Location1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Michelle Roark attended and graduated from University Of Alabama School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1992965602
  • Provider Enumeration Date: 06/16/2008
  • Last Update Date: 08/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395901870
  • Enrollment ID: I20180810002538

Medical Identifiers

Medical identifiers for Kimberly Michelle Roark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992965602NPI-NPPES
2004399800AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 28987 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chickasaw Nation Medical CenterAda, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chickasaw Nation Division Of Health8426957523209

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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. Kimberly Michelle Roark allows following entities to bill medicare on her 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. Kimberly Michelle Roark 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
Kimberly Michelle Roark, MD
1925 Warrior Way,
Ada, OK 74820

Ph: (580) 421-4570
Kimberly Michelle Roark, MD
1921 Stonecipher Dr,
Ada, OK 74820-3439

Ph: (580) 436-3980

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Obstetrics & Gynecology Doctors in Ada, OK

Miss Lucretia Renee Barker, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6283
Miranda Dawn Knight-brown, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 807 N Monte Vista St, Ada, OK 74820
Phone: 580-332-8855    Fax: 580-332-7374
Richard Mcclain, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Boulevard, Ada, OK 74820
Phone: 580-421-6200    Fax: 580-421-6209
Charles Whiting, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-421-6200    Fax: 580-421-6209
Michael Marvin, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6209
Dr. Mahate Ann Parker, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6283
John C Siegle, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 807 N Monte Vista St, Ada, OK 74820
Phone: 580-332-8855    Fax: 580-332-7374

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