BRENTWOOD EXTENDED CARE & REHAB. LLC – Skilled Nursing Facility, NPI 1720161813
Skilled Nursing Facility
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BRENTWOOD EXTENDED CARE & REHAB. LLC
1929, Betty Jane Lane, Bacone, Muskogee, Muskogee County, Oklahoma, 74403, United States
MUSKOGEE, OK 744031581
Phone: (918) 683-9407
Fax: (918) 683-1979
Type: Mailing
Bretnwood Extended Care and Rehabilitation, 841, North 38th Street, College Heights, Muskogee, Muskogee County, Oklahoma, 74401, United States
MUSKOGEE, OK 744012056
Phone: (918) 683-8070
Fax: (918) 683-8234
Type: Location
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: 2007-05-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070504000257 | O | Skilled Nursing Facility | OK | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74403)
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