Brent Lusamba-kasende Kamba, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Chandler, Arizona. He graduated from healthcare school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Good Health Medical Pllc and his current practice location is
261 N Roosevelt Ave, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at
(801) 688-4952.
Brent Lusamba-kasende Kamba is licensed to practice in Arizona (license number 297664) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194217760.
Healthcare Provider's Profile
| Full Name | Brent Lusamba-kasende Kamba |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 261 N Roosevelt Ave, Chandler, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brent Lusamba-kasende Kamba graduated from medical school in 2023
NPI Data:
- NPI Number: 1194217760
- Provider Enumeration Date: 05/30/2018
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799130720
- Enrollment ID: I20231011003469
Medical Identifiers
Medical identifiers for Brent Lusamba-kasende Kamba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194217760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 297664 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Good Health Medical Pllc | 3779680962 | 137 |
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. Brent Lusamba-kasende Kamba allows following entities to bill medicare on his behalf.
| Entity Name | Good Health Medical Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144764432
PECOS PAC ID: 3779680962
Enrollment ID: O20070523000237 |
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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. Brent Lusamba-kasende Kamba 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 |
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Brent Lusamba-kasende Kamba, FNP-C
6013 S Redwood Rd,
Taylorsville, UT 84123-5220
Ph: (801) 255-5131 | Brent Lusamba-kasende Kamba, FNP-C
261 N Roosevelt Ave,
Chandler, AZ 85226-2617
Ph: (801) 688-4952 |
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