Mrs Mandie Leigh Renner, CCNS in Tulsa, OK - Medicare Nurse Practitioner

Mrs Mandie Leigh Renner, CCNS is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Tulsa, Oklahoma. Her current practice location is 1120 S Utica Ave Ste 2123, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 579-5402.

Mrs Mandie Leigh Renner is licensed to practice in Oklahoma (license number 80137) 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 1760630131.

Contact Information

	Mrs Mandie Leigh Renner, CCNS
	1120 S Utica Ave Ste 2123, Tulsa, OK 74104
	(918) 579-5402
	(918) 579-5404

Map and Direction

Provider's Profile

Full Name	Mrs Mandie Leigh Renner
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	1120 S Utica Ave Ste 2123, 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: 1760630131
Provider Enumeration Date: 08/28/2008
Last Update Date: 03/06/2019

Medicare PECOS Information:

PECOS PAC ID: 4082916630
Enrollment ID: I20180201000867

Medical Identifiers

Medical identifiers for Mrs Mandie Leigh Renner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760630131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SN0000X	Clinical Nurse Specialist - Neonatal	81378 (Oklahoma)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	80137 (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. Mrs Mandie Leigh Renner allows following entities to bill medicare on her behalf.

Entity Name	Northwest Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194768721 PECOS PAC ID: 0244213213 Enrollment ID: O20040610000882

Entity Name	Northwest Benton County Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505

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. Mrs Mandie Leigh Renner 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
Mrs Mandie Leigh Renner, CCNS 1120 S Utica Ave Ste 2123, Tulsa, OK 74104-4012 Ph: (189) 579-5402	Mrs Mandie Leigh Renner, CCNS 1120 S Utica Ave Ste 2123, Tulsa, OK 74104 Ph: (918) 579-5402

Reviews and Comments

Nurse Practitioner Nurses in Tulsa, OK

Jennifer Christa Pimentel, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 S Yale Ave Ste 209, Tulsa, OK 74136 Phone: 918-392-4550 Fax: 918-392-4551
Casie Nicole Brim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave, Suite 606, Tulsa, OK 74104 Phone: 918-748-7676 Fax: 918-293-3130
Jared Qualls, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Suite 460, Tulsa, OK 74104 Phone: 918-579-5749 Fax: 918-579-5762
Adekemi Taiwo, APRN - CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 Phone: 918-615-3750
Stephanie Ann Adame, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200
Mrs. Susan Elaine Graham, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2408 E 81st St Ste 900, Tulsa, OK 74137 Phone: 918-319-5021 Fax: 918-477-5853
Lisa Michele Sample, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-2200

Mrs Mandie Leigh Renner, CCNS - Medicare Nurse Practitioner in Tulsa, OK