Rachael Touma, PMHNP-BC - Medicare Nurse Practitioner in Claremore, OK

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Rachael Touma, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Claremore, Oklahoma. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Balance Womens Health Llc and her current practice location is 2990 N Sioux Ave, Claremore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 342-2622.

Rachael Touma is licensed to practice in Oklahoma (license number 114669) 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 1598398133.

Contact Information

Rachael Touma, PMHNP-BC
2990 N Sioux Ave,
Claremore, OK 74017-3700
(918) 342-2622
(918) 342-2641

Map and Direction




Provider's Profile

Full NameRachael Touma
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location2990 N Sioux Ave, Claremore, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rachael Touma graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1598398133
  • Provider Enumeration Date: 02/21/2020
  • Last Update Date: 02/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789015009
  • Enrollment ID: I20200520001725

Medical Identifiers

Medical identifiers for Rachael Touma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598398133NPI-NPPES
114669OtherOKLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 114669 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Balance Womens Health Llc347692774069

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. Rachael Touma allows following entities to bill medicare on her behalf.
Entity NameJeffrey K Mcilroy Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053531830
PECOS PAC ID: 8527962216
Enrollment ID: O20031124000657
Entity NameWilliams Medical Group Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346608809
PECOS PAC ID: 3375832157
Enrollment ID: O20181228001300
Entity NameBalance Womens Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790186385
PECOS PAC ID: 3476927740
Enrollment ID: O20230328002277

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. Rachael Touma 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
Rachael Touma, PMHNP-BC
2990 N Sioux Ave,
Claremore, OK 74017-3700

Ph: (918) 342-2622		Rachael Touma, PMHNP-BC
2990 N Sioux Ave,
Claremore, OK 74017-3700

Ph: (918) 342-2622

Reviews and Comments


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Melissa Nell Gingerich,
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Linda A Meredith, NP
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Practice Location: 3001 W Blue Starr Dr, Claremore, OK 74017
Phone: 918-342-5432    Fax: 918-342-0835

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.