Carissa Kulczycki, DO - Medicare Obstetrics/gynecology in Oklahoma City, OK

Carissa Kulczycki, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Oklahoma City, Oklahoma. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Integris Ambulatory Care Corporation and her current practice location is 3435 Nw 56th St Ste 600, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 713-4400.

Carissa Kulczycki is licensed to practice in Oklahoma (license number 6012) 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 1104204015.

Contact Information

Carissa Kulczycki, DO
3435 Nw 56th St Ste 600,
Oklahoma City, OK 73112-4442
(405) 713-4400
(405) 713-4473



Physician's Profile

Full NameCarissa Kulczycki
GenderFemale
SpecialityObstetrics/gynecology
Experience9 Years
Location3435 Nw 56th St Ste 600, Oklahoma City, 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:
  • Carissa Kulczycki graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1104204015
  • Provider Enumeration Date: 05/12/2015
  • Last Update Date: 09/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921338369
  • Enrollment ID: I20190926002897

Medical Identifiers

Medical identifiers for Carissa Kulczycki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104204015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 6012 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integris Ambulatory Care Corporation2365408465382

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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. Carissa Kulczycki allows following entities to bill medicare on her behalf.
Entity NameIntegris Ambulatory Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354

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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. Carissa Kulczycki 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
Carissa Kulczycki, DO
5300 N Independence Ave Ste 280,
Oklahoma City, OK 73112-5555

Ph: (405) 713-4400
Carissa Kulczycki, DO
3435 Nw 56th St Ste 600,
Oklahoma City, OK 73112-4442

Ph: (405) 713-4400

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Obstetrics & Gynecology Doctors in Oklahoma City, OK

Imari Elena Moore, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120
Phone: 405-242-4030    Fax: 405-242-4031
Kristine Marie Thompson, APRN-CNP
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4140 W Memorial Rd Ste 215, Oklahoma City, OK 73120
Phone: 405-242-4030    Fax: 405-242-4031
John Alan Fuller, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 5101 W Memorial Rd, Oklahoma City, OK 73142
Phone: 405-752-9600    Fax: 405-752-9605
Ronan Alexander Bakker, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120
Phone: 405-748-4726    Fax: 405-607-8497
Dr. Jennifer K. Nelson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11200 N Portland Ave, Oklahoma City, OK 73120
Phone: 405-936-1000    Fax: 405-936-1001
Dr. Julie Anne Strebel, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4200 W Memorial Rd, Suite 201, Oklahoma City, OK 73120
Phone: 405-749-4200    Fax: 405-749-4218
Bethany Mckenzie Werner, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 800 Ne 10th St, Oklahoma City, OK 73104
Phone: 405-271-7770    

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