ELIZABETH MORGAN HADDOCK (PA-C) – Physician Assistant, NPI 1376036616

ELIZABETH MORGAN HADDOCK (PA-C) is a healthcare provider. based in Tishomingo, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2817 (OK). The NPI Number for ELIZABETH MORGAN HADDOCK (PA-C) is 1376036616

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MORGAN HADDOCK (PA-C)
NPI
1376036616
Phone
(580) 371-2327
Address
1000 S BYRD ST
Enumeration Date
12 June 2018
Last Update Date
10 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802290079
Graduation Year
2017 (9 years ago)
PAC ID
1355698705
Group Practice PAC ID
3375610447
Professional Enrollment ID
I20180801000294
Address ID
OK734386124HE3472XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for ELIZABETH MORGAN HADDOCK (PA-C)

  • Mercy Hospital Tishomingo, 1000, South Byrd Street, Tishomingo, Johnston County, Oklahoma, 73460, United States

    TISHOMINGO, OK 734603265

    Phone: (580) 371-2327

    Fax: (580) 371-2127

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180801000294IPhysician AssistantOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3822$0
99316Nursing facility discharge management, more than 30 minutes3228$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2825$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2420$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2318$0
View full utilization report →

Insurance plans in this area (ZIP 73460)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375610447View full group profile
NameSpecialtyState
Nurse PractitionerOK
Internal MedicineOK
Nurse PractitionerOK
Physician AssistantOK
Family PracticeOK
-OK
Internal MedicineOK
Physician AssistantOK
Nurse PractitionerOK
Internal MedicineOK

Reviews

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Frequently asked questions

What is the standard ID for ELIZABETH MORGAN HADDOCK (PA-C) in the U.S.?
In the U.S., ELIZABETH MORGAN HADDOCK (PA-C) is identified by NPI 1376036616.
Should I treat ELIZABETH MORGAN HADDOCK (PA-C) as an active provider?
Patients and plans typically see ELIZABETH MORGAN HADDOCK (PA-C) as active in the national extract.
What type of care does ELIZABETH MORGAN HADDOCK (PA-C) provide?
ELIZABETH MORGAN HADDOCK (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit ELIZABETH MORGAN HADDOCK (PA-C) in Tishomingo, Oklahoma?
For routing, start with Tishomingo, Oklahoma for ELIZABETH MORGAN HADDOCK (PA-C), then verify phone and hours locally.
Who maintains ELIZABETH MORGAN HADDOCK (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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