Carolyne Bangurah, APRN in Oklahoma City, OK - Medicare Nurse Practitioner

Carolyne Bangurah, APRN is a medicare enrolled "Nurse Practitioner - Family" in Oklahoma City, Oklahoma. Her current practice location is 600 N Walker Ave Ste 103, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 445-9555.

Carolyne Bangurah is licensed to practice in Oklahoma (license number 205113) 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 1801321393.

Contact Information

	Carolyne Bangurah, APRN
	600 N Walker Ave Ste 103, Oklahoma City, OK 73102-3035
	(405) 445-9555
	(866) 728-2564

Map and Direction

Provider's Profile

Full Name	Carolyne Bangurah
Gender	Female
Speciality	Nurse Practitioner - Family
Location	600 N Walker Ave Ste 103, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801321393
Provider Enumeration Date: 04/21/2017
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 6406126655
Enrollment ID: I20170720000325

Medical Identifiers

Medical identifiers for Carolyne Bangurah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801321393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704277484 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704277484 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	205113 (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. Carolyne Bangurah allows following entities to bill medicare on her behalf.

Entity Name	Betts Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083908081 PECOS PAC ID: 8921275553 Enrollment ID: O20120121000113

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. Carolyne Bangurah 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
Carolyne Bangurah, APRN 600 N Walker Ave Ste 103, Oklahoma City, OK 73102-3035 Ph: (405) 445-9555	Carolyne Bangurah, APRN 600 N Walker Ave Ste 103, Oklahoma City, OK 73102-3035 Ph: (405) 445-9555

Reviews and Comments

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Ann R Benson, BSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 10th St, Oklahoma City, OK 73117 Phone: 405-271-4476 Fax: 405-271-9202
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Carolyne Bangurah, APRN - Medicare Nurse Practitioner in Oklahoma City, OK