Fomundam Newnton Mbuh, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Fort Worth, Texas. His current practice location is
4759 South Fwy Ste 101, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 382-0005.
Fomundam Newnton Mbuh is licensed to practice in Texas (license number AP142762) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003464496.
Physician's Profile
| Full Name | Fomundam Newnton Mbuh |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4759 South Fwy Ste 101, Fort Worth, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003464496
- Provider Enumeration Date: 08/28/2019
- Last Update Date: 08/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 8527468610
- Enrollment ID: I20210610002568
Medical Identifiers
Medical identifiers for Fomundam Newnton Mbuh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003464496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | AP142762 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP142762 (Texas) | Primary |
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. Fomundam Newnton Mbuh allows following entities to bill medicare on his behalf.
| Entity Name | Noaak Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578040580
PECOS PAC ID: 8921343393
Enrollment ID: O20181213001768 |
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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. Fomundam Newnton Mbuh 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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Fomundam Newnton Mbuh, NP
Po Box 788,
Aledo, TX 76008-0788
Ph: () - | Fomundam Newnton Mbuh, NP
4759 South Fwy Ste 101,
Fort Worth, TX 76115-3655
Ph: (817) 382-0005 |
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