Mrs Phyllis A Peace, APRN - Medicare Nurse Practitioner in Owasso, OK

Mrs Phyllis A Peace, APRN is a medicare enrolled "Nurse Practitioner - Family" in Owasso, Oklahoma. Her current practice location is 12455 E 100th St N Ste 300, Owasso, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 274-9700.

Mrs Phyllis A Peace is licensed to practice in Oklahoma (license number 79303) 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 1225434756.

Contact Information

Mrs Phyllis A Peace, APRN
12455 E 100th St N Ste 300,
Owasso, OK 74055-4678
(918) 274-9700
(918) 274-1395



Provider's Profile

Full NameMrs Phyllis A Peace
GenderFemale
SpecialityNurse Practitioner - Family
Location12455 E 100th St N Ste 300, Owasso, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225434756
  • Provider Enumeration Date: 11/11/2014
  • Last Update Date: 11/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9830418904
  • Enrollment ID: I20150512002106

Medical Identifiers

Medical identifiers for Mrs Phyllis A Peace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225434756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 79303 (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 Phyllis A Peace allows following entities to bill medicare on her behalf.
Entity NameAhs Oklahoma Heart Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780857540
PECOS PAC ID: 4587737135
Enrollment ID: O20080716000032

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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. Mrs Phyllis A Peace 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 Phyllis A Peace, APRN
12455 E 100th St N Ste 300,
Owasso, OK 74055-4678

Ph: (918) 274-9700
Mrs Phyllis A Peace, APRN
12455 E 100th St N Ste 300,
Owasso, OK 74055-4678

Ph: (918) 274-9700

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Nurse Practitioner Nurses in Owasso, OK

Ms. Sandra Jean Heath, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8810 N 127th East Ave, Owasso, OK 74055
Phone: 918-716-0028    
Samantha England,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12105 E 90th St N, Owasso, OK 74055
Phone: 918-645-9325    
Julie Shaffer, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11426 N 134th East Ave, Owasso, OK 74055
Phone: 918-727-2273    
Rachel Ann Johnson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12455 E 100th St N, Owasso, OK 74055
Phone: 405-757-7818    Fax: 405-703-0645
Elizabeth Flores, APRNCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12451 E 100th St N, Owasso, OK 74055
Phone: 918-274-5000    
Sharalee Savage, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15214 E 90th Ct N, Owasso, OK 74055
Phone: 918-272-2170    
Ilona Willyard, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8422 N 123rd East Ave, Owasso, OK 74055
Phone: 918-858-4353    

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