Collins Fokum Fomunung, FNP in Charlotte, NC - Medicare Nurse Practitioner

Collins Fokum Fomunung, FNP is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mt Zion Medical And Nursing Services Pa and his current practice location is 6608 E W T Harris Blvd Ste A, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 900-7761.

Collins Fokum Fomunung is licensed to practice in North Carolina (license number F0215602) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124414750.

Contact Information

	Collins Fokum Fomunung, FNP
	6608 E W T Harris Blvd Ste A, Charlotte, NC 28215-5128
	(704) 900-7761
	(704) 900-8058

Map and Direction

Provider's Profile

Full Name	Collins Fokum Fomunung
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	6608 E W T Harris Blvd Ste A, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Collins Fokum Fomunung attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2014

NPI Data:

NPI Number: 1124414750
Provider Enumeration Date: 04/10/2015
Last Update Date: 04/10/2015

Medicare PECOS Information:

PECOS PAC ID: 2264701259
Enrollment ID: I20170707000004

Medical Identifiers

Medical identifiers for Collins Fokum Fomunung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124414750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F0215602 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Shelby, NC	Home health agency
Phc Home Health	Charlotte, NC	Home health agency
Kindred At Home	Charlotte, NC	Home health agency
Gentiva Health Services	Hickory, NC	Home health agency
Bayada Home Health Care, Inc	Charlotte, NC	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mt Zion Medical And Nursing Services Pa	1254426778	4

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. Collins Fokum Fomunung allows following entities to bill medicare on his behalf.

Entity Name	Mt Zion Medical And Nursing Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316160641 PECOS PAC ID: 1254426778 Enrollment ID: O20070928000334

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. Collins Fokum Fomunung 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
Collins Fokum Fomunung, FNP 430 White Water Falls Dr Apt 611, Charlotte, NC 28217-5257 Ph: (704) 258-2936	Collins Fokum Fomunung, FNP 6608 E W T Harris Blvd Ste A, Charlotte, NC 28215-5128 Ph: (704) 900-7761

Reviews and Comments

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Collins Fokum Fomunung, FNP - Medicare Nurse Practitioner in Charlotte, NC