Stephenie Renee Ingram, CNP-FAMILY is a medicare enrolled "Nurse Practitioner" in Wilburton, Oklahoma. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
210 W Main St, Wilburton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 465-9612.
Stephenie Renee Ingram is licensed to practice in Oklahoma (license number 72256) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407129372.
Provider's Profile
| Full Name | Stephenie Renee Ingram |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 210 W Main St, Wilburton, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephenie Renee Ingram graduated from nursing school in 2011
NPI Data:
- NPI Number: 1407129372
- Provider Enumeration Date: 02/22/2012
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254594104
- Enrollment ID: I20120514000185
Medical Identifiers
Medical identifiers for Stephenie Renee Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407129372 | NPI | - | NPPES |
| 200426120A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 72256 (Oklahoma) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 72256 (Oklahoma) | Secondary |
Medical Facilities Affiliation
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. Stephenie Renee Ingram allows following entities to bill medicare on her behalf.
| Entity Name | Wilburton Family Medical Stephenie Ingram Aprn Cnp Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538671425
PECOS PAC ID: 2264791961
Enrollment ID: O20180125000074 |
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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. Stephenie Renee Ingram 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 |
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Stephenie Renee Ingram, CNP-FAMILY
210 W Main St,
Wilburton, OK 74578-4046
Ph: (918) 465-9612 | Stephenie Renee Ingram, CNP-FAMILY
210 W Main St,
Wilburton, OK 74578-4046
Ph: (918) 465-9612 |
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