Bupe Martha M Habiyambere, in Longview, WA - Medicare Nurse Practitioner

Bupe Martha M Habiyambere, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Longview, Washington. Her current practice location is 1057 12th Ave, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 636-3892.

Bupe Martha M Habiyambere is licensed to practice in Washington (license number AP61041972) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154967099.

Contact Information

	Bupe Martha M Habiyambere,
	1057 12th Ave, Longview, WA 98632-2509
	(360) 636-3892
	(360) 636-3892

Map and Direction

Provider's Profile

Full Name	Bupe Martha M Habiyambere
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1057 12th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154967099
Provider Enumeration Date: 11/26/2019
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0345661575
Enrollment ID: I20200526002535

Medical Identifiers

Medical identifiers for Bupe Martha M Habiyambere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154967099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61041972 (Washington)	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. Bupe Martha M Habiyambere allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

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. Bupe Martha M Habiyambere 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
Bupe Martha M Habiyambere, 124 Jackson Love Cir, Erwin, TN 37650-1920 Ph: (423) 930-6593	Bupe Martha M Habiyambere, 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 636-3892

Reviews and Comments

Nurse Practitioner Nurses in Longview, WA

Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Holly Wells, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2385 Fax: 360-414-2386
Ms. Jan Carlin Khouri, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-703-6400
Donna K Lynds, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Mr. David Jude Paris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086

Bupe Martha M Habiyambere, - Medicare Nurse Practitioner in Longview, WA