Chinelo Ikpeama Fangtang, MD, MBA is a medicare enrolled "Dermatology" physician in Humble, Texas. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Mehta Medical Group Pllc and her current practice location is
17903 W Lake Houston Pkwy, Humble, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 812-1846.
Chinelo Ikpeama Fangtang is licensed to practice in Texas (license number R3534) 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 1568882082.
Physician's Profile
| Full Name | Chinelo Ikpeama Fangtang |
|---|
| Gender | Female |
|---|
| Speciality | Dermatology |
|---|
| Experience | 10 Years |
|---|
| Location | 17903 W Lake Houston Pkwy, Humble, Texas |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Chinelo Ikpeama Fangtang attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2014
NPI Data:
- NPI Number: 1568882082
- Provider Enumeration Date: 04/23/2014
- Last Update Date: 09/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385906916
- Enrollment ID: I20180719001957
Medical Identifiers
Medical identifiers for Chinelo Ikpeama Fangtang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568882082 | NPI | - | NPPES |
| R3534 | Other | TX | TEXAS MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | BP10050055 (Texas) | Secondary |
| 207N00000X | Dermatology | R3534 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mehta Medical Group Pllc | 0941236301 | 19 |
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. Chinelo Ikpeama Fangtang allows following entities to bill medicare on her behalf.
| Entity Name | Mehta Medical Group Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780708321
PECOS PAC ID: 0941236301
Enrollment ID: O20050718000069 |
|---|
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. Chinelo Ikpeama Fangtang 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 |
|---|
Chinelo Ikpeama Fangtang, MD, MBA
17903 W Lake Houston Pkwy Ste 201,
Humble, TX 77346-3954
Ph: (281) 812-1846 | Chinelo Ikpeama Fangtang, MD, MBA
17903 W Lake Houston Pkwy,
Humble, TX 77346
Ph: (281) 812-1846 |
Reviews and Comments