Mr Kellen William Joseph Homer, PA-C - Medicare Physician Assistant in Yukon, OK

Mr Kellen William Joseph Homer, PA-C is a medicare enrolled "Physician Assistant - Medical" in Yukon, Oklahoma. His current practice location is 1201 Health Center Pkwy, Yukon, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 717-6800.

Mr Kellen William Joseph Homer is licensed to practice in * (Not Available) (license number ) 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 1215312442.

Contact Information

Mr Kellen William Joseph Homer, PA-C
1201 Health Center Pkwy,
Yukon, OK 73099-6381
(405) 717-6800
Not Available



Provider's Profile

Full NameMr Kellen William Joseph Homer
GenderMale
SpecialityPhysician Assistant - Medical
Location1201 Health Center Pkwy, Yukon, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215312442
  • Provider Enumeration Date: 07/29/2015
  • Last Update Date: 07/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6608177407
  • Enrollment ID: I20151221002383

Medical Identifiers

Medical identifiers for Mr Kellen William Joseph Homer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215312442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))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. Mr Kellen William Joseph Homer 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
Mr Kellen William Joseph Homer, PA-C
9005 Sw 38th Ter,
Oklahoma City, OK 73179-3813

Ph: (740) 296-4763
Mr Kellen William Joseph Homer, PA-C
1201 Health Center Pkwy,
Yukon, OK 73099-6381

Ph: (405) 717-6800

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Physician Assistant Nurses in Yukon, OK

Mrs. Lauren Marie Miller, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11900 Nw Expressway, Yukon, OK 73099
Phone: 405-283-9300    Fax: 405-283-9301
Lauryn Rochelle Jeffcoat, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 301 S Mustang Rd, Yukon, OK 73099
Phone: 405-324-1911    
Christy Ann Niehues, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Health Center Pkwy, Suite 100, Yukon, OK 73099
Phone: 405-717-5400    Fax: 405-717-5467
Summer Megli, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099
Phone: 405-717-6800    
Tiffany Stutzman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 508 W Vandament Ave, #210, Yukon, OK 73099
Phone: 405-350-0200    
Lance Johnson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 709 N Czech Hall Rd, Yukon, OK 73099
Phone: 405-494-8600    
Joseph E Walsh,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Health Center Pkwy Ste 100, Yukon, OK 73099
Phone: 405-717-5400    Fax: 405-717-5441

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