Jaci Ranea Hodges, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740848878

Jaci Ranea Hodges, PA-C is a Physician Assistant in Woodward, Oklahoma. Qualified in 2019, 7 years ago. Practices with Kenan Kirkendall, DO, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying: 7
Licensed in: OK
In the registry since: 2019
Specialties on file: 2

What do these letters mean?

PA-C — Physician Assistant, Certified: A physician assistant who holds current national certification.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Woodward, OK

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 3097 (OK)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1740848878
Entity type	Individual (Type 1)
Gender	Female
Credentials	PA-C
Sole proprietor	Yes
NPI enumerated	June 4, 2019
Last updated in NPPES	February 10, 2021
Certification date	February 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2019 (7 years in practice)
Group practice	Kenan Kirkendall, D.O., Pc — 2 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount