Komal Noor Kaur Uppal, FNP is a medicare enrolled "Nurse Practitioner - Family" in Marietta, Oklahoma. Her current practice location is
12443 Oswalt Rd, Marietta, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(972) 339-8670.
Komal Noor Kaur Uppal is licensed to practice in Oklahoma (license number 208275) 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 1275266108.
Provider's Profile
Full Name | Komal Noor Kaur Uppal |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 12443 Oswalt Rd, Marietta, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275266108
- Provider Enumeration Date: 07/07/2022
- Last Update Date: 07/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769867829
- Enrollment ID: I20220910000465
Medical Identifiers
Medical identifiers for Komal Noor Kaur Uppal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275266108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 208275 (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. Komal Noor Kaur Uppal allows following entities to bill medicare on her behalf.
Entity Name | Williams Medical Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
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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. Komal Noor Kaur Uppal 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 |
Komal Noor Kaur Uppal, FNP 12443 Oswalt Rd, Marietta, OK 73448-7510 Ph: (972) 339-8670 | Komal Noor Kaur Uppal, FNP 12443 Oswalt Rd, Marietta, OK 73448-7510 Ph: (972) 339-8670 |
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