Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Doretta Jenison, PA-C

Individual provider Physician Assistant · NPI 1962047183

Doretta Jenison, PA-C is a Physician Assistant in Choctaw, Oklahoma. Qualified in 2019, 7 years ago. Practices with Optimum Care Hospitalist Group PLLC, a 22-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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

830 Oak Hill Rd
Choctaw, OK 73020-7510
Phone: (619) 886-0898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962047183
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 12, 2019
Last updated in NPPESNovember 12, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Optimum Care Hospitalist Group Pllc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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