| Dr Yolande Mfondoum Pengetnze, MD | |
|
4200 W University Dr, Prosper, TX 75078-9805 | |
| (945) 204-4100 | |
| (682) 885-1903 |
| Full Name | Dr Yolande Mfondoum Pengetnze |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 4200 W University Dr, Prosper, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952574055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | N1059 (Texas) | Primary |
| 208000000X | Pediatrics | N1059 (Texas) | Secondary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Entity Name | Dallas Physician Medical Services For Children Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194153650 PECOS PAC ID: 1759607906 Enrollment ID: O20150305000673 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yolande Mfondoum Pengetnze, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Dr Yolande Mfondoum Pengetnze, MD 4200 W University Dr, Prosper, TX 75078-9805 Ph: (945) 204-4100 |
Jay S Jeon, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-303-3880 | |
Dr. Yetunde Olabosipo Kare-opaneye, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Nicole Kristen Nieman, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Kristi K Goodson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 |