Enobong C Udo, A-GNP in Plano, TX - Medicare Nurse Practitioner

Enobong C Udo, A-GNP is a medicare enrolled "Nurse Practitioner" in Plano, Texas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dallas County Hospital District, Odette Louise Campbell, Md, Pa and her current practice location is 5072 W Plano Pkwy Ste 220, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 671-0900.

Enobong C Udo is licensed to practice in Texas (license number AP137519) 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 1124518253.

Contact Information

	Enobong C Udo, A-GNP
	5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475
	(469) 671-0900
	Not Available

Map and Direction

Provider's Profile

Full Name	Enobong C Udo
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	5072 W Plano Pkwy Ste 220, Plano, Texas
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:

Enobong C Udo graduated from nursing school in 2017

NPI Data:

NPI Number: 1124518253
Provider Enumeration Date: 05/15/2018
Last Update Date: 05/15/2018

Medicare PECOS Information:

PECOS PAC ID: 3072862242
Enrollment ID: I20180821002634

Medical Identifiers

Medical identifiers for Enobong C Udo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124518253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AP137519 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP137519 (Texas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP137519 (Texas)	Secondary
363L00000X	Nurse Practitioner	AP137519 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkland Health & Hospital System	Dallas, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dallas County Hospital District	8325934813	448
Odette Louise Campbell, Md, Pa	9335301829	8

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. Enobong C Udo allows following entities to bill medicare on her behalf.

Entity Name	Dallas County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583

Entity Name	Solar Health, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376724948 PECOS PAC ID: 3577625524 Enrollment ID: O20081229000479

Entity Name	Pyramid Pain And Rehab P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063655124 PECOS PAC ID: 3779634373 Enrollment ID: O20090622000289

Entity Name	Odette Louise Campbell, Md, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366750325 PECOS PAC ID: 9335301829 Enrollment ID: O20120430000114

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. Enobong C Udo 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
Enobong C Udo, A-GNP 5072 W Plano Pkwy, Plano, TX 75093-4476 Ph: (469) 671-0900	Enobong C Udo, A-GNP 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 Ph: (469) 671-0900

Reviews and Comments

Nurse Practitioner Nurses in Plano, TX

Wendy Renee Foster, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Preston Park Blvd, Suite 1450, Plano, TX 75093 Phone: 469-800-4540 Fax: 469-800-4541
Mrs. Cristina James, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 Harkness Dr, Plano, TX 75093 Phone: 214-674-0626
Melissa Coltman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 500, Plano, TX 75093 Phone: 972-941-3100 Fax: 844-292-1461
Mrs. Caroline Kesterson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4708 Alliance Blvd Ste 550, Plano, TX 75093 Phone: 469-800-6140
Mrs. Margie Carol Crews, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4001 W 15th St, Suite 180, Plano, TX 75093 Phone: 972-867-5300 Fax: 972-867-5301
Saeed Niyati, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Coit Rd, Suite 206, Plano, TX 75075 Phone: 972-612-4999
Ms. Tonya Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Plano, TX 75093 Phone: 214-522-4640

Enobong C Udo, A-GNP - Medicare Nurse Practitioner in Plano, TX