Sopukro W Tienabeso, MD - Medicare Internal Medicine in Mcalester, OK

Sopukro W Tienabeso, MD is a medicare enrolled "Internal Medicine" physician in Mcalester, Oklahoma. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lawton Indian Hospital and his current practice location is 1 E Clark Bass Blvd, Mcalester, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 426-1800.

Sopukro W Tienabeso is licensed to practice in Oklahoma (license number 24308) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770513442.

Contact Information

Sopukro W Tienabeso, MD
1 E Clark Bass Blvd,
Mcalester, OK 74501-4209
(918) 426-1800
Not Available



Physician's Profile

Full NameSopukro W Tienabeso
GenderMale
SpecialityInternal Medicine
Experience40 Years
Location1 E Clark Bass Blvd, Mcalester, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sopukro W Tienabeso graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1770513442
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3971533217
  • Enrollment ID: I20181214002014

Medical Identifiers

Medical identifiers for Sopukro W Tienabeso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770513442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 24308 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lawton Indian HospitalLawton, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lawton Indian Hospital640680023494

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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. Sopukro W Tienabeso allows following entities to bill medicare on his behalf.
Entity NameLawton Indian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760489223
PECOS PAC ID: 6406800234
Enrollment ID: O20050304000301

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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. Sopukro W Tienabeso 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
Sopukro W Tienabeso, MD
1316 Nw 170th St,
Edmond, OK 73003-7410

Ph: (405) 285-0796
Sopukro W Tienabeso, MD
1 E Clark Bass Blvd,
Mcalester, OK 74501-4209

Ph: (918) 426-1800

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Internal Medicine Doctors in Mcalester, OK

Thomas M Reinsvold, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4 E Clark Bass Blvd, Suite 204, Mcalester, OK 74501
Phone: 918-422-6071    Fax: 918-421-6077
Lee Alice Goscin, M.D., PH.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Oklahoma Ave, Mcalester, OK 74501
Phone: 918-423-4900    Fax: 918-423-4907
Dr. Kristen Stehling, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4 E Clark Bass Blvd Ste 301, Mcalester, OK 74501
Phone: 918-421-6081    Fax: 918-421-8990
Leroy M Milton, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501
Phone: 918-426-0240    Fax: 918-423-4051
James Allen Golla, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501
Phone: 918-426-0240    Fax: 918-423-4051
Stacy Hardy, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501
Phone: 918-426-0240    Fax: 918-423-4051
Kenneth R Miller, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501
Phone: 918-426-0240    Fax: 918-423-4051

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