MACKENZIE MONIGOLD MD
NPI 1023691961
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Q: What is Mackenzie Monigold's NPI number?

The NPI number for Mackenzie Monigold is 1023691961. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Mackenzie Monigold's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Mackenzie Monigold enrolled in Medicare?

No. Mackenzie Monigold has opted out of Medicare through July 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since April 29, 2021Opted out of Medicare · through Jul 9, 2028

7501 RIVERSIDE PKWY, TULSA, OK 74136(918) 710-4200(918) 403-6331 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Mackenzie Monigold Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE MONIGOLD MD (NPI 1023691961) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since April 2021. She has opted out of Medicare through July 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023691961

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMACKENZIE MONIGOLDCredential: MD

Location Address7501 RIVERSIDE PKWYTulsa, OK 74136-5056

Mailing Address7501 Riverside PkwyTulsa, OK 74136-5056 · (918) 710-4200 · Fax (918) 403-6331

Phone(918) 710-4200

Fax(918) 403-6331

Sole ProprietorNo

Enumeration DateApril 29, 2021

NPPES CertifiedApril 29, 2021

✔ NPI 1023691961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7501 RIVERSIDE PKWY, Tulsa, OK 74136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mackenzie Monigold Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 9, 2024 through July 9, 2028.

Opt-Out Effective DateJuly 9, 2024

Opt-Out In Effect ThroughJuly 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES C POWELL MD

Family Medicine