Thomas Nyota Kamumo, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Tulsa, Oklahoma. His current practice location is
1111 W 17th St, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 582-1972.
Thomas Nyota Kamumo is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720752314.
Provider's Profile
| Full Name | Thomas Nyota Kamumo |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1111 W 17th St, Tulsa, Oklahoma |
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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: 1720752314
- Provider Enumeration Date: 08/06/2021
- Last Update Date: 08/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092756692
- Enrollment ID: I20240327001246
Medical Identifiers
Medical identifiers for Thomas Nyota Kamumo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720752314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Thomas Nyota Kamumo 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 |
|---|
Thomas Nyota Kamumo,
3349 M St Nw,
Miami, OK 74354-1902
Ph: (918) 533-0173 | Thomas Nyota Kamumo,
1111 W 17th St,
Tulsa, OK 74107-1886
Ph: (918) 582-1972 |
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