Douglas Mukorombindo, - Medicare Nurse Practitioner in Edmond, OK

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Douglas Mukorombindo, is a medicare enrolled "Nurse Practitioner - Family" in Edmond, Oklahoma. His current practice location is 5400 E Memorial Rd, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 459-7016.

Douglas Mukorombindo is licensed to practice in Indiana (license number 28214779A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326764127.

Contact Information

Douglas Mukorombindo,
5400 E Memorial Rd,
Edmond, OK 73013-8213
(405) 459-7016
Not Available

Map and Direction




Provider's Profile

Full NameDouglas Mukorombindo
GenderMale
SpecialityNurse Practitioner - Family
Location5400 E Memorial Rd, Edmond, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326764127
  • Provider Enumeration Date: 10/13/2022
  • Last Update Date: 10/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527431865
  • Enrollment ID: I20230307001255

Medical Identifiers

Medical identifiers for Douglas Mukorombindo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326764127NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 28214779A (Indiana)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. Douglas Mukorombindo allows following entities to bill medicare on his behalf.
Entity NameExtended Care Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20050318000726
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190903001552
Entity NameEventus Wholehealth Midwest Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386252757
PECOS PAC ID: 4183040470
Enrollment ID: O20200818000277

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. Douglas Mukorombindo 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 AddressPractice Location Address
Douglas Mukorombindo,
5400 E Memorial Rd,
Edmond, OK 73013-8213

Ph: (405) 459-7016		Douglas Mukorombindo,
5400 E Memorial Rd,
Edmond, OK 73013-8213

Ph: (405) 459-7016

Reviews and Comments


Nurse Practitioner Nurses in Edmond, OK

Michelle Kathleen Merrell, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3800 S. Blvd,, Edmond, OK 73013
Phone: 405-905-9888    
Catherine Marie Kindt, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2177 Venezia Cir, Edmond, OK 73034
Phone: 580-695-1605    
Breanne Kali Flusche,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034
Phone: 405-832-6881    Fax: 405-578-9818
Karyl S. Knopps, A.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2820 N Kelly Ave, Ste 200, Edmond, OK 73003
Phone: 405-726-8000    Fax: 405-726-8101
Lisa Louise Spence, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1208 W 15th St, Edmond, OK 73013
Phone: 405-340-2100    Fax: 405-340-1184
Elizabeth Stanfield Carradini, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1520 S Bryant Ave, Edmond, OK 73013
Phone: 405-348-7982    
Kelli Rebecca Lawrence,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034
Phone: 405-832-6881    Fax: 833-941-1685

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.