Dr Edwin Nyamwaya Mogaka, MD - Medicare Family Practice in Tobyhanna, PA

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Dr Edwin Nyamwaya Mogaka, MD is a medicare enrolled "Family Medicine" physician in Tobyhanna, Pennsylvania. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lehigh Valley Physician Group and his current practice location is 100 Community Dr, Tobyhanna, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 895-2300.

Dr Edwin Nyamwaya Mogaka is licensed to practice in Pennsylvania (license number MD484471) 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 1417537655.

Contact Information

Dr Edwin Nyamwaya Mogaka, MD
100 Community Dr,
Tobyhanna, PA 18466-8985
(570) 895-2300
Not Available

Map and Direction




Physician's Profile

Full NameDr Edwin Nyamwaya Mogaka
GenderMale
SpecialityFamily Practice
Experience4 Years
Location100 Community Dr, Tobyhanna, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Edwin Nyamwaya Mogaka graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1417537655
  • Provider Enumeration Date: 04/12/2021
  • Last Update Date: 08/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123423399
  • Enrollment ID: I20240825000074

Medical Identifiers

Medical identifiers for Dr Edwin Nyamwaya Mogaka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417537655NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MT223964 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine MD484471 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley Hospital - PoconoEast stroudsburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lehigh Valley Physician Group30724251232138

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. Dr Edwin Nyamwaya Mogaka allows following entities to bill medicare on his behalf.
Entity NameFamily Care Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669563037
PECOS PAC ID: 5395649347
Enrollment ID: O20031121000497
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

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. Dr Edwin Nyamwaya Mogaka 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
Dr Edwin Nyamwaya Mogaka, MD
2100 Mack Blvd Fl 4,
Allentown, PA 18103-5622

Ph: (484) 884-4500		Dr Edwin Nyamwaya Mogaka, MD
100 Community Dr,
Tobyhanna, PA 18466-8985

Ph: (570) 895-2300

Reviews and Comments


Family Medicine Doctors in Tobyhanna, PA

Leah Michelle Arlequin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Community Dr, Tobyhanna, PA 18466
Phone: 570-895-2300    Fax: 570-895-4270

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.