Evumena Ese Mukoro, FNP in Lawrenceville, GA - Medicare Nurse Practitioner

Evumena Ese Mukoro, FNP is a medicare enrolled "Nurse Practitioner" in Lawrenceville, Georgia. Her current practice location is 595 Hurricane Shoals Rd Nw, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 645-7150.

Evumena Ese Mukoro is licensed to practice in Georgia (license number 265269) 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 1356050462.

Contact Information

	Evumena Ese Mukoro, FNP
	595 Hurricane Shoals Rd Nw, Lawrenceville, GA 30046-8761
	(404) 645-7150
	Not Available

Map and Direction

Provider's Profile

Full Name	Evumena Ese Mukoro
Gender	Female
Speciality	Nurse Practitioner
Location	595 Hurricane Shoals Rd Nw, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356050462
Provider Enumeration Date: 11/17/2022
Last Update Date: 02/16/2023

Medicare PECOS Information:

PECOS PAC ID: 7517330160
Enrollment ID: I20230301000425

Medical Identifiers

Medical identifiers for Evumena Ese Mukoro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356050462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	265269 (Georgia)	Primary
363L00000X	Nurse Practitioner	RN265269 (Georgia)	Secondary

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. Evumena Ese Mukoro allows following entities to bill medicare on her behalf.

Entity Name	Georgia Nephrology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063422723 PECOS PAC ID: 4082606496 Enrollment ID: O20040402000838

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. Evumena Ese Mukoro 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
Evumena Ese Mukoro, FNP 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 Ph: (404) 645-7150	Evumena Ese Mukoro, FNP 595 Hurricane Shoals Rd Nw, Lawrenceville, GA 30046-8761 Ph: (404) 645-7150

Reviews and Comments

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Evumena Ese Mukoro, FNP - Medicare Nurse Practitioner in Lawrenceville, GA