John Levi Stanford, PMHNP-BC in Tulsa, OK - Medicare Nurse Practitioner

John Levi Stanford, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tulsa, Oklahoma. His current practice location is 9228 S Mingo Rd Ste 101&103, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 221-0877.

John Levi Stanford is licensed to practice in Oklahoma (license number 210536) 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 1881286995.

Contact Information

	John Levi Stanford, PMHNP-BC
	9228 S Mingo Rd Ste 101&103, Tulsa, OK 74133-5718
	(918) 221-0877
	Not Available

Map and Direction

Provider's Profile

Full Name	John Levi Stanford
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9228 S Mingo Rd Ste 101&103, 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: 1881286995
Provider Enumeration Date: 02/09/2021
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 6103262936
Enrollment ID: I20240314002465

Medical Identifiers

Medical identifiers for John Levi Stanford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881286995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R0131069 (Oklahoma)	Secondary
163WA0400X	Registered Nurse - Addiction (substance Use Disorder)	R0131069 (Oklahoma)	Secondary
163WP0808X	Registered Nurse - Psychiatric/mental Health	R0131069 (Oklahoma)	Secondary
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	R0131069 (Oklahoma)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	210536 (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. John Levi Stanford allows following entities to bill medicare on his behalf.

Entity Name	Balance Womens Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790186385 PECOS PAC ID: 3476927740 Enrollment ID: O20230328002277

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. John Levi Stanford 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
John Levi Stanford, PMHNP-BC 9228 S Mingo Rd Ste 101&103, Tulsa, OK 74133-5718 Ph: (918) 221-0877	John Levi Stanford, PMHNP-BC 9228 S Mingo Rd Ste 101&103, Tulsa, OK 74133-5718 Ph: (918) 221-0877

Reviews and Comments

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John Levi Stanford, PMHNP-BC - Medicare Nurse Practitioner in Tulsa, OK