Ossie Mae Dornoo, CNP is a medicare enrolled "Community/behavioral Health" in Columbus, Ohio. Her current practice location is
2100 Stella Ct, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 252-8402.
Ossie Mae Dornoo is licensed to practice in * (Not Available) (license number APRN.CNP.0032653) 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 1114650579.
Provider's Profile
| Full Name | Ossie Mae Dornoo |
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| Gender | Female |
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| Speciality | Community/behavioral Health |
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| Location | 2100 Stella Ct, Columbus, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114650579
- Provider Enumeration Date: 07/05/2022
- Last Update Date: 02/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729450879
- Enrollment ID: I20230217002202
Medical Identifiers
Medical identifiers for Ossie Mae Dornoo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114650579 | NPI | - | NPPES |
| 0495167 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 351093 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | APRN.CNP.0032653 (* (Not Available)) | 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. Ossie Mae Dornoo allows following entities to bill medicare on her behalf.
| Entity Name | Alvis Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386993350
PECOS PAC ID: 2264764299
Enrollment ID: O20191024001619 |
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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. Ossie Mae Dornoo 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 |
|---|
Ossie Mae Dornoo, CNP
2254 Hughey Square Ct,
Reynoldsburg, OH 43068-3692
Ph: (216) 526-2373 | Ossie Mae Dornoo, CNP
2100 Stella Ct,
Columbus, OH 43215-1011
Ph: (614) 252-8402 |
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