Mrs Mary Grace Difuntorum, APRN, FNP - Nurse Practitioner in Mustang, OK

Mrs Mary Grace Difuntorum, APRN, FNP is a Nurse Practitioner - Family based in Mustang, Oklahoma. Mrs Mary Grace Difuntorum is licensed to practice in Oklahoma (license number 210920) and her current practice location is 160 E Sw 59th St, Mustang, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (405) 730-6990.

NPI number for Mrs Mary Grace Difuntorum is 1659078129 and her current mailing address is Po Box 45561, Oklahoma City, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659078129.

Contact Information

Mrs Mary Grace Difuntorum, APRN, FNP
160 E Sw 59th St,
Mustang, OK 73064-4722
(405) 730-6990
(405) 730-6992

Map and Direction




Provider's Profile

Full NameMrs Mary Grace Difuntorum
GenderFemale
SpecialityNurse Practitioner - Family
Location160 E Sw 59th St, Mustang, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659078129
  • Provider Enumeration Date: 02/14/2023
  • Last Update Date: 10/09/2024

Medical Identifiers

Medical identifiers for Mrs Mary Grace Difuntorum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659078129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 210920 (Oklahoma)Primary

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 Mary Grace Difuntorum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Mary Grace Difuntorum, APRN, FNP
Po Box 45561,
Oklahoma City, OK 73145-0561

Ph: () -
Mrs Mary Grace Difuntorum, APRN, FNP
160 E Sw 59th St,
Mustang, OK 73064-4722

Ph: (405) 730-6990

Reviews and Comments


Nurse Practitioner Nurses in Mustang, OK

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Medicare: Medicare Enrolled
Practice Location: 200 S Castlerock Ln, Mustang, OK 73064
Phone: 405-256-6000    Fax: 405-256-6001
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Medicare: Not Enrolled in Medicare
Practice Location: 200 S Castlerock Ln, Mustang, OK 73064
Phone: 405-256-6000    

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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.

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