Nour Mustafa, - Medicare Physician Assistant in Broken Arrow, OK

Nour Mustafa, is a medicare enrolled "Physician Assistant" in Broken Arrow, Oklahoma. Her current practice location is 2504 E Reno St, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 406-8625.

Nour Mustafa is licensed to practice in Oklahoma (license number 4419) 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 1073119335.

Contact Information

Nour Mustafa,
2504 E Reno St,
Broken Arrow, OK 74014-4601
(918) 406-8625
Not Available

Map and Direction




Provider's Profile

Full NameNour Mustafa
GenderFemale
SpecialityPhysician Assistant
Location2504 E Reno St, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073119335
  • Provider Enumeration Date: 12/10/2020
  • Last Update Date: 12/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133526155
  • Enrollment ID: I20210917001726

Medical Identifiers

Medical identifiers for Nour Mustafa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073119335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 4419 (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. Nour Mustafa 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
Nour Mustafa,
2504 E Reno St,
Broken Arrow, OK 74014-4601

Ph: () -
Nour Mustafa,
2504 E Reno St,
Broken Arrow, OK 74014-4601

Ph: (918) 406-8625

Reviews and Comments


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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.