Hind Mamdouh, APRN is a medicare enrolled "Nurse Practitioner" physician in Jacksonville, Florida. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Md Anderson Cancer Physicians Inc and her current practice location is
1301 Palm Ave Ste 101, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 202-7300.
Hind Mamdouh is licensed to practice in Florida (license number APRN11024718) 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 1902508351.
Physician's Profile
| Full Name | Hind Mamdouh |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1301 Palm Ave Ste 101, Jacksonville, Florida |
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| Accepts Medicare Assignments | Yes. She 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:
- Hind Mamdouh graduated from medical school in 2022
NPI Data:
- NPI Number: 1902508351
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446616908
- Enrollment ID: I20230525002431
Medical Identifiers
Medical identifiers for Hind Mamdouh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902508351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0205X | Radiology - Radiological Physics | 2085R0205X (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11024718 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11024718 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Baptist Md Anderson Cancer Physicians Inc | 5991932063 | 107 |
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. Hind Mamdouh allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Md Anderson Cancer Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538593124
PECOS PAC ID: 5991932063
Enrollment ID: O20131217000276 |
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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. Hind Mamdouh 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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Hind Mamdouh, APRN
Po Box 746654,
Atlanta, GA 30374-6654
Ph: (904) 202-2092 | Hind Mamdouh, APRN
1301 Palm Ave Ste 101,
Jacksonville, FL 32207-8457
Ph: (904) 202-7300 |
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