Oklahoma State University in Stillwater, OK - Preferred Provider Organization

Oklahoma State University is a Preferred Provider Organization based in Stillwater, Oklahoma. Oklahoma State University is licensed to practice in Oklahoma (license number 17462) and their current practice location is 170 Athletics Center, Stillwater, Oklahoma. It can be reached at their office (for appointments etc.) via phone at (405) 744-5430.

NPI number for Oklahoma State University is 1063681104 and their current mailing address is 170 Athletics Center, Stillwater, Oklahoma. Oklahoma State University does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1063681104.

Contact Information

	Oklahoma State University
	170 Athletics Center, Stillwater, OK 74078-0001
	(405) 744-5430
	(405) 744-4945

Healthcare Provider's Profile

Full Name	Oklahoma State University
Type	Facility
Speciality	Preferred Provider Organization
Location	170 Athletics Center, Stillwater, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1063681104
Provider Enumeration Date: 02/22/2008
Last Update Date: 02/22/2008

Medical Identifiers

Medical identifiers for Oklahoma State University such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063681104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3509 (Oklahoma)	Secondary
2255A2300X	Specialist/technologist - Athletic Trainer	465 (Oklahoma)	Secondary
305R00000X	Preferred Provider Organization	17462 (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. Oklahoma State University 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 Address	Practice Location Address
Oklahoma State University 170 Athletics Center, Stillwater, OK 74078-0001 Ph: (405) 744-5430	Oklahoma State University 170 Athletics Center, Stillwater, OK 74078-0001 Ph: (405) 744-5430

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Oklahoma State University - in Stillwater, OK