Susan Wakesho Ngondo, | |
127 S Bahama Ave, Marco Island, FL 34145-5117 | |
(239) 601-5452 | |
Not Available |
Full Name | Susan Wakesho Ngondo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 127 S Bahama Ave, Marco Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962088047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11011868 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11011868 (Florida) | Primary |
Entity Name | M & H Med Housecalls Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427548304 PECOS PAC ID: 2961750146 Enrollment ID: O20180803001366 |
Entity Name | True Compassionate Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871253526 PECOS PAC ID: 0143613950 Enrollment ID: O20220131000528 |
Entity Name | Las Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225815830 PECOS PAC ID: 3971957150 Enrollment ID: O20230921001092 |
Entity Name | Afya Med Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730937871 PECOS PAC ID: 6901347616 Enrollment ID: O20240923000233 |
Entity Name | Elitemedcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841018553 PECOS PAC ID: 9830621366 Enrollment ID: O20241022001550 |
Mailing Address | Practice Location Address |
---|---|
Susan Wakesho Ngondo, 127 S Bahama Ave, Marco Island, FL 34145-5117 Ph: (239) 601-5452 | Susan Wakesho Ngondo, 127 S Bahama Ave, Marco Island, FL 34145-5117 Ph: (239) 601-5452 |