J Coffey Md Pc - Medicare Primary Care in Elk City, OK

J Coffey Md Pc is a medicare enrolled primary clinic (Family Medicine) in Elk City, Oklahoma. The current practice location for J Coffey Md Pc is 1900 W 2nd St, Suite C, Elk City, Oklahoma. For appointments, you can reach them via phone at (580) 225-9222. The mailing address for J Coffey Md Pc is 1900 W 2nd St, Suite C, Elk City, Oklahoma and phone number is (580) 225-9222.

J Coffey Md Pc is licensed to practice in Oklahoma (license number 20836). The clinic also participates in the medicare program and its NPI number is 1386755072. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (580) 225-9222.

Contact Information

J Coffey Md Pc
1900 W 2nd St
Suite C
Elk City
OK 73644-4328
(580) 225-9222
(580) 225-1027

Primary Care Clinic Profile

Full NameJ Coffey Md Pc
SpecialityFamily Medicine
Location1900 W 2nd St, Elk City, Oklahoma
Authorized Official Name and PositionSally Ann Coffey (OFFICE MANAGER)
Authorized Official Contact5802259222
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
J Coffey Md Pc
1900 W 2nd St
Suite C
Elk City
OK 73644-4328

Ph: (580) 225-9222
J Coffey Md Pc
1900 W 2nd St
Suite C
Elk City
OK 73644-4328

Ph: (580) 225-9222

NPI Details:

NPI Number1386755072
Provider Enumeration Date08/31/2006
Last Update Date10/17/2014

Medicare PECOS Information:

Medicare PECOS PAC ID8628173556
Medicare Enrollment IDO20070420000226

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Medical Identifiers

Medical identifiers for J Coffey Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386755072NPI-NPPES
100136650AMedicaidOK
20836OtherOKMEDICAL LICENSE NUMBER
37D0963547OtherOKCLIA WAIVER NUMBER
448604592-001OtherOKBC BS OF OK PROVIDER ID
100136650DMedicaidOK
100136650CMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20836 (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. J Coffey Md Pc acts as a billing entity for following providers:
Provider NameJ C Coffey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013045913
PECOS PAC ID: 9234162132
Enrollment ID: I20070420000214

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Family Medicine in Elk City, OK

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