Deinma Ibulubo, RN, FNP-BC in Bronx, NY - Medicare Nurse Practitioner

Deinma Ibulubo, RN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Penn State Health Community Medical Group Llc and her current practice location is 2054 Tillotson Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 671-2100.

Deinma Ibulubo is licensed to practice in New York (license number 363715) 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 1013261866.

Contact Information

	Deinma Ibulubo, RN, FNP-BC
	2054 Tillotson Ave, Bronx, NY 10475-1560
	(718) 671-2100
	Not Available

Map and Direction

Provider's Profile

Full Name	Deinma Ibulubo
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2054 Tillotson Ave, Bronx, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Deinma Ibulubo graduated from nursing school in 2018

NPI Data:

NPI Number: 1013261866
Provider Enumeration Date: 11/01/2012
Last Update Date: 10/11/2022

Medicare PECOS Information:

PECOS PAC ID: 8527308014
Enrollment ID: I20220407000093

Medical Identifiers

Medical identifiers for Deinma Ibulubo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013261866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	647036 (New York)	Secondary
363L00000X	Nurse Practitioner	SP023507 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	363715 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penn State Health Community Medical Group Llc	8729351077	737

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. Deinma Ibulubo allows following entities to bill medicare on her behalf.

Entity Name	Penn State Health Community Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279

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. Deinma Ibulubo 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
Deinma Ibulubo, RN, FNP-BC 1276 Fulton Ave Rm 219, Bronx, NY 10456-3402 Ph: (718) 992-7669	Deinma Ibulubo, RN, FNP-BC 2054 Tillotson Ave, Bronx, NY 10475-1560 Ph: (718) 671-2100

Reviews and Comments

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Deinma Ibulubo, RN, FNP-BC - Medicare Nurse Practitioner in Bronx, NY