Nicole Lisette Mancinelli, PA-C in Tulsa, OK - Medicare Physician Assistant

Nicole Lisette Mancinelli, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Tulsa, Oklahoma. Her current practice location is 2424 E. 21st Street, Suite 320, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 392-4547.

Nicole Lisette Mancinelli is licensed to practice in Oklahoma (license number 2195) 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 1619216272.

Contact Information

	Nicole Lisette Mancinelli, PA-C
	2424 E. 21st Street, Suite 320, Tulsa, OK 74114
	(918) 392-4547
	(918) 392-4555

Map and Direction

Provider's Profile

Full Name	Nicole Lisette Mancinelli
Gender	Female
Speciality	Physician Assistant - Surgical
Location	2424 E. 21st Street, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619216272
Provider Enumeration Date: 02/01/2013
Last Update Date: 09/14/2016

Medicare PECOS Information:

PECOS PAC ID: 5698912178
Enrollment ID: I20130501000375

Medical Identifiers

Medical identifiers for Nicole Lisette Mancinelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619216272	NPI	-	NPPES
200474170A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	2195 (Oklahoma)	Secondary
363AS0400X	Physician Assistant - Surgical	2195 (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. Nicole Lisette Mancinelli 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
Nicole Lisette Mancinelli, PA-C 2909 E 97th Ct, Apt. 2212, Tulsa, OK 74137-7435 Ph: (918) 392-4547	Nicole Lisette Mancinelli, PA-C 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 Ph: (918) 392-4547

Reviews and Comments

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Nicole Lisette Mancinelli, PA-C - Medicare Physician Assistant in Tulsa, OK