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KATHY EDDY M.S.
NPI 1033667209
Student in an Organized Health Care Education/Training Program in Chickasha, OK

Active since September 16, 2016PECOS EnrolledAccepts Medicare Assignment
804 W CHOCTAW AVE, CHICKASHA, OK 73018(405) 222-0622 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathy Eddy M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHY EDDY M.S. (NPI 1033667209) is an individual student in an organized health care education/training program in Chickasha, Oklahoma and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1033667209
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHY EDDYCredential: M.S.
Location Address804 W CHOCTAW AVEChickasha, OK 73018-2310
Mailing Address804 W Choctaw AveChickasha, OK 73018-2310 · (405) 222-0622
Phone(405) 222-0622
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 16, 2016
✔ NPI 1033667209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
804 W CHOCTAW AVE, Chickasha, OK 73018
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathy Eddy M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446600829
PECOS Enrollment IDI20231227002151
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathy Eddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oklahoma Mental Health Council
40 mi
Mental Health (Including Community Mental Health Center)
4400 N LINCOLN BLVD
Oklahoma City, OK 73105
  • Reassigned Medicare billing, Oklahoma enrollment
  • 201 clinicians in this Medicare group
NPI 1275574907 (405) 424-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN THOMAS HARGROVE
Case Manager/Care Coordinator
804 W CHOCTAW AVE
CHICKASHA, OK 73018
Grady County (405) 424-7711
LINDSEY RENEA POINDEXTER
Case Manager/Care Coordinator
804 W CHOCTAW AVE
CHICKASHA, OK 73018
Grady County (405) 424-7711
JANA GIBSON
Peer Specialist
804 W CHOCTAW AVE
CHICKASHA, OK 73018
Grady County (405) 424-7711
MRS. DEASHA K HIRE
Counselor (Mental Health)
804 W CHOCTAW AVE
CHICKASHA, OK 73018
Grady County (405) 425-0372
BETHANIE CHANEY
Counselor (Mental Health)
804 W CHOCTAW AVE
CHICKASHA, OK 73018
Grady County (405) 222-0622
EMILY BROOKE PERKINS CMII
Counselor
804 W CHOCTAW AVE
CHICKASHA, OK 73018
Grady County (405) 222-0622
ALICIA JASMINE MARTINEZ
Case Manager/Care Coordinator
804 W CHOCTAW AVE
CHICKASHA, OK 73018
Grady County (405) 320-8026
CARMEN JOYCE KLINEKOLE
Counselor (Mental Health)
804 W CHOCTAW AVE
CHICKASHA, OK 73018
Grady County (405) 222-0622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Eddy's NPI number?

The NPI number for Kathy Eddy is 1033667209. It was assigned to this individual provider in the NPPES registry on September 16, 2016.

Where is Kathy Eddy located?

Kathy Eddy practices at 804 W Choctaw Ave, Chickasha, OK 73018. The listed phone number is (405) 222-0622.

What is Kathy Eddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kathy Eddy enrolled in Medicare?

Yes. Kathy Eddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kathy Eddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Eddy reassigns Medicare benefits to Oklahoma Mental Health Council (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Eddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathy Eddy was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.