200 N MAIN ST STE D
SAND SPRINGS, OK 74063-7650 US PECOS Enrolled
Jack Howard Brown
Family Medicine Physician
- SAND SPRINGS, OK
- Phone: (918)-246-3456
- Last Updated 1/16/2020
Overview
Jack Howard Brown is a Family Medicine Physician in the SAND SPRINGS area and has over 36 years of experience. Jack Howard Brown primary office location is at 200 N MAIN ST STE D and new patients are welcome to contact this healthcare provider for an appointment. He attended Oral Roberts University School Of Medicine and graduated 1988
Jack Howard Brown is affiliated with seventeen hospitals in the SAND SPRINGS area, including . The NPI number is 1982699096 and the information was updated approximately 4 years ago.
Jack Howard Brown is part of three medical groups, including LEGACY HEALTHCARE SERVICES INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 16933 | OK |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 200196490A | OK |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | OK | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20081208000186 |
| PECOS Individual PAC ID: | 0143381293 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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