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DAGENAIS & ASSOCIATES MEDICAL CLINIC, LLC
NPI 1043618572
Physician Assistant - Medical in Pawhuska, OK

Active since December 16, 2014
137 EAST MAIN, PAWHUSKA, OK 74056(918) 217-8696(918) 217-8696 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dagenais & Associates Medical Clinic, Llc NPPES

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

DAGENAIS & ASSOCIATES MEDICAL CLINIC, LLC (NPI 1043618572) is a healthcare organization registered as a medical in Pawhuska, Oklahoma and active in the NPI registry since December 2014. The organization lists Mary Jane Dagenais, Owner, as its authorized official.

NPPES Registry Identity

NPI1043618572
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameDAGENAIS & ASSOCIATES MEDICAL CLINIC, LLC
Location Address137 EAST MAINPawhuska, OK 74056
Mailing Address539 Leahy AvePawhuska, OK 74056-5241 · (918) 217-8696 · Fax (918) 217-8696
Phone(918) 217-8696
Fax(918) 217-8696
Organization SubpartNo
Authorized OfficialMary Jane DagenaisOwner · (918) 217-8696
Enumeration DateDecember 16, 2014
Last NPPES UpdateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
✔ NPI 1043618572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 1218
137 EAST MAIN, Pawhuska, OK 74056
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

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 Dagenais & Associates Medical Clinic, LLC's NPI number?

The NPI number for Dagenais & Associates Medical Clinic, LLC is 1043618572. It was assigned to this organization in the NPPES registry on December 16, 2014.

Where is Dagenais & Associates Medical Clinic, LLC located?

Dagenais & Associates Medical Clinic, LLC is located at 137 East Main, Pawhuska, OK 74056. The listed phone number is (918) 217-8696.

What is Dagenais & Associates Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Dagenais & Associates Medical Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Dagenais & Associates Medical Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dagenais & Associates Medical Clinic, LLC was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.