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

Individual provider Surgical Physician Assistant · NPI 1235293804

Lee Richerson Mackin, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Graduated from University of South Alabama College of Medicine in 2005, 21 years ago. Practices with Elite Pain and Health PC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama and Oklahoma.

Years since qualifying
21
Trained at
University of South Alabama College of Medicine
Licensed in
AL, OK
In the registry since
2006
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

13100 N Western Ave Ste 303
Oklahoma City, OK 73114-1432
Phone: (800) 781-1220
Fax: (888) 678-8616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5062 (OK)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-508 (AL)

Record details

NPI number1235293804
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Elite Pain And Health Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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