ALICE JEAN MD, MPH, DIPABLM
NPI 1255995155
Family Medicine in Ada, OK

Q: What is Alice Jean's NPI number?

The NPI number for Alice Jean is 1255995155. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Q: What is Alice Jean's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alice Jean was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 25, 2019PECOS EnrolledAccepts Medicare Assignment

1921 STONECIPHER BLVD, ADA, OK 74820(580) 426-3980 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2024, Jan 10, 2023, Apr 25, 2019 (3 updates tracked since 2019).

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About Alice Jean Md, Mph, Dipablm NPPES

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

ALICE JEAN MD, MPH, DIPABLM (NPI 1255995155) is an individual family medicine provider in Ada, Oklahoma, licensed in Oklahoma (41283) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2019).

NPPES Registry Identity

NPI1255995155

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALICE JEANCredential: MD, MPH, DIPABLM

Location Address1921 STONECIPHER BLVDAda, OK 74820-3439

Mailing Address1921 Stonecipher BlvdAda, OK 74820-3439

Phone(580) 426-3980

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2019

Enumeration DateApril 25, 2019

Last NPPES UpdateJune 12, 20243 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1255995155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OK · 41283✔ Licensed in GU · TLL-2022-003✔ Licensed in CA · A182562✔ Licensed in TX · V1799

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1921 STONECIPHER BLVD, Ada, OK 74820

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alice Jean Md, Mph, Dipablm 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 ID8729435060

PECOS Enrollment IDI20231108002963

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services58 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

47 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370180

Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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