Mrs Mandie Leigh Renner, CCNS - Medicare Nurse Practitioner in Tulsa, OK

Mrs Mandie Leigh Renner, CCNS is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Tulsa, Oklahoma. Her current practice location is 1120 S Utica Ave Ste 2123, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 579-5402.

Mrs Mandie Leigh Renner is licensed to practice in Oklahoma (license number 80137) 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 1760630131.

Contact Information

Mrs Mandie Leigh Renner, CCNS
1120 S Utica Ave Ste 2123,
Tulsa, OK 74104
(918) 579-5402
(918) 579-5404

Map and Direction




Provider's Profile

Full NameMrs Mandie Leigh Renner
GenderFemale
SpecialityNurse Practitioner - Neonatal, Critical Care
Location1120 S Utica Ave Ste 2123, Tulsa, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760630131
  • Provider Enumeration Date: 08/28/2008
  • Last Update Date: 03/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4082916630
  • Enrollment ID: I20180201000867

Medical Identifiers

Medical identifiers for Mrs Mandie Leigh Renner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760630131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SN0000XClinical Nurse Specialist - Neonatal 81378 (Oklahoma)Secondary
363LN0005XNurse Practitioner - Neonatal, Critical Care 80137 (Oklahoma)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. Mrs Mandie Leigh Renner allows following entities to bill medicare on her behalf.
Entity NameNorthwest Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194768721
PECOS PAC ID: 0244213213
Enrollment ID: O20040610000882
Entity NameNorthwest Benton County Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871553073
PECOS PAC ID: 3577503689
Enrollment ID: O20050509000505

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 Mandie Leigh Renner 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
Mrs Mandie Leigh Renner, CCNS
1120 S Utica Ave Ste 2123,
Tulsa, OK 74104-4012

Ph: (189) 579-5402
Mrs Mandie Leigh Renner, CCNS
1120 S Utica Ave Ste 2123,
Tulsa, OK 74104

Ph: (918) 579-5402

Reviews and Comments


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Phone: 918-494-2200    

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).

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