Angelia Dawn Diab, CNP, APRN in Tulsa, OK - Medicare Nurse Practitioner

Angelia Dawn Diab, CNP, APRN is a medicare enrolled "Nurse Practitioner - Family" in Tulsa, Oklahoma. Her current practice location is 717 S Houston Ave Ste 400, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 382-4600.

Angelia Dawn Diab is licensed to practice in Oklahoma (license number 106855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326532896.

Contact Information

	Angelia Dawn Diab, CNP, APRN
	717 S Houston Ave Ste 400, Tulsa, OK 74127-9007
	(918) 382-4600
	(918) 382-3158

Map and Direction

Provider's Profile

Full Name	Angelia Dawn Diab
Gender	Female
Speciality	Nurse Practitioner - Family
Location	717 S Houston Ave Ste 400, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326532896
Provider Enumeration Date: 06/19/2018
Last Update Date: 02/13/2019

Medicare PECOS Information:

PECOS PAC ID: 3779834346
Enrollment ID: I20180920000873

Medical Identifiers

Medical identifiers for Angelia Dawn Diab such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326532896	NPI	-	NPPES
200790630A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	106855 (Oklahoma)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angelia Dawn Diab allows following entities to bill medicare on her behalf.

Entity Name	Oklahoma State University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700994878 PECOS PAC ID: 2769739358 Enrollment ID: O20180730000192

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angelia Dawn Diab is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angelia Dawn Diab, CNP, APRN 717 S Houston Ave Fl 4, Tulsa, OK 74127-9023 Ph: (918) 382-4600	Angelia Dawn Diab, CNP, APRN 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 Ph: (918) 382-4600

Reviews and Comments

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Angelia Dawn Diab, CNP, APRN - Medicare Nurse Practitioner in Tulsa, OK