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

Luvey Deatherage, PA-C

Individual provider Physician Assistant · NPI 1841798626

Luvey Deatherage, PA-C is a Physician Assistant in Wewoka, Oklahoma. Qualified in 2017, 9 years ago. Practices with Immediate Care of Oklahoma LLC, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

36640 Old Hwy 270
Wewoka, OK 74884
Phone: (405) 257-6282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 803 Nichols Ave, Tecumseh, OK 74873-4687 — (405) 990-0262

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2839 (OK)

Record details

NPI number1841798626
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2018
Last updated in NPPESMarch 4, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Immediate Care Of Oklahoma Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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