JACQUELYN A O'BANION MD NPI 1003040262

Ophthalmology in Oklahoma City, OK

NPI 1003040262 Individual Female Years of Experience 13 Ophthalmology PECOS Enrolled Accepts Medicare Approved Payment

About JACQUELYN O'BANION

Jacquelyn O'banion is a provider established in Oklahoma City, Oklahoma and her medical specialization is ophthalmology with more than 13 years of experience. She graduated from University Of Texas Medical School At San Antonio in 2009. The NPI number of Jacquelyn O'banion is 1003040262 and was assigned on May 2009. The practitioner's primary taxonomy code is 207W00000X with license number 27920 (OK). The provider is registered as an individual and her NPI record was last updated 5 years ago.

Jacquelyn O'banion is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jacquelyn O'banion is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Grady Memorial Hospital.

NPI

1003040262

Provider Name JACQUELYN A O'BANION MD
Provider Location Address608 STANTON L YOUNG BLVD OKLAHOMA CITY, OK 73104
Provider Mailing Address1365B CLIFTON RD NE EMORY CLINIC BUILDING B ATLANTA, GA 30322
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-03-2009
Last Update Date02-13-2017


Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.27920
License StateOK
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Business Address

JACQUELYN A O'BANION MD
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-6060
Fax: (405) 271-1926

Get Directions


Mailing Address

JACQUELYN A O'BANION MD
1365B CLIFTON RD NE
EMORY CLINIC BUILDING B
ATLANTA, GA
ZIP 30322
Phone: (404) 778-2020



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4789827858
PECOS Enrollment IDI20160119001455
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jacquelyn O'banion is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
GRADY MEMORIAL HOSPITAL80 JESSE HILL, JR DRIVE SE
ATLANTA, GA 30303
(404) 616-4252Acute Care Hospitals110079

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
298031YRYSMEDICARE PIN (08)OK
200306430BMEDICAID (05)OK

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083683452 DAVID W PARKE II M.D.
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-1092
1891764221 NANCY A LAMBERT
Individual
Technician/Technologist (Ocularist)608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-6060
1881606739 THERESA A LARSON MD
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-6060
1154478329 ELIZABETH R WALLER MD
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-6060
1245438886DR. JOSEPH ANDREW CLEVER M.D.
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-1095
1518129956 ANNIE CHAN M.D.
Individual
Ophthalmology608 STANTON L YOUNG BLVD DEAN MCGEE EYE INSTITUTE
OKLAHOMA CITY, OK 73104
(405) 271-6060
1285951145DR. EVAN JAMES ALLAN M,D.
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-1093
1427461367 JOSHUA FONG HENDRIX M.D.
Individual
Ophthalmology608 STANTON L YOUNG BLVD DMEI 509
OKLAHOMA CITY, OK 73104
(405) 271-7816
1275890337 GARETT STEPHEN FRANK M.D.
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-6060
1598218372 GERTA MANE M.D.
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-7816
1841267291 BRADLEY K FARRIS M.D.
Individual
Ophthalmology (Neuro-ophthalmology)608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-1091
1114193497 JANINE COLLINGE M.D.
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-6060
1730421983DR. STANLEY S PARK MD
Individual
Ophthalmology (Retina Specialist)608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-6060
1982018594 CRAIG DANIEL ECK M.D.
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-6060
1558867143DR. JON CHRISTIAN BERRY MD
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-7816
1235617051 FARZAD JAMSHIDI
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-3013
1922466671MR. JORGE L MALOUF DO
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-6060
1295294346DR. TYLER CHRISTIAN FRISKE MD
Individual
Ophthalmology608 STANTON L YOUNG BLVD DMEI 509
OKLAHOMA CITY, OK 73104
(405) 271-7816
1730648551 CHRISTIAN ALBERTO LEAL MD
Individual
Student in an Organized Health Care Education/Training Program608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-7816
1104288547 ANDREW C HOU MD
Individual
Ophthalmology608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
(405) 271-6060

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.