Agnes Jeruto Mamboleo, - Licensed Practical Nurse in Fort Worth, TX

Agnes Jeruto Mamboleo, is a Licensed Practical Nurse based in Fort Worth, Texas. Agnes Jeruto Mamboleo is licensed to practice in Maryland (license number LP35237) and her current practice location is 4921 Woodmeadow Dr, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at (301) 204-6081.

NPI number for Agnes Jeruto Mamboleo is 1750926630 and her current mailing address is 4921 Woodmeadow Dr, Fort Worth, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750926630.

Contact Information

Agnes Jeruto Mamboleo,
4921 Woodmeadow Dr,
Fort Worth, TX 76135-1824
(301) 204-6081
Not Available

Map and Direction




Provider's Profile

Full NameAgnes Jeruto Mamboleo
GenderFemale
SpecialityLicensed Practical Nurse
Location4921 Woodmeadow Dr, Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750926630
  • Provider Enumeration Date: 11/14/2019
  • Last Update Date: 11/14/2019

Medical Identifiers

Medical identifiers for Agnes Jeruto Mamboleo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750926630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LP35237 (Maryland)Primary

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. Agnes Jeruto Mamboleo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Agnes Jeruto Mamboleo,
4921 Woodmeadow Dr,
Fort Worth, TX 76135-1824

Ph: (301) 204-6081
Agnes Jeruto Mamboleo,
4921 Woodmeadow Dr,
Fort Worth, TX 76135-1824

Ph: (301) 204-6081

Reviews and Comments


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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.

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