Mafon Fomujang, NURSE PRACTITIONER in Austin, TX

Mafon Fomujang, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Austin, Texas. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brave Health Medical Group, Pa, Brave Health Medical Group, Pa and her current practice location is 2911 Medical Arts St Ste 10, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (866) 473-0663.

Mafon Fomujang is licensed to practice in Texas (license number 1048371) 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 1013442102.

Contact Information

	Mafon Fomujang, NURSE PRACTITIONER
	2911 Medical Arts St Ste 10, Austin, TX 78705-3302
	(866) 473-0663
	Not Available

Map and Direction

Provider's Profile

Full Name	Mafon Fomujang
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2911 Medical Arts St Ste 10, Austin, 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:

Mafon Fomujang graduated from nursing school in 2022

NPI Data:

NPI Number: 1013442102
Provider Enumeration Date: 04/26/2017
Last Update Date: 07/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8224382304
Enrollment ID: I20181107002813

Medical Identifiers

Medical identifiers for Mafon Fomujang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013442102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0808X	Clinical Nurse Specialist - Psychiatric/mental Health	023666 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN.CNP.023666 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1048371 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brave Health Medical Group, Pa	9537586052	51
Brave Health Medical Group, Pa	9537586052	51

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. Mafon Fomujang allows following entities to bill medicare on her behalf.

Entity Name	Murtis Taylor Human Services System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629001920 PECOS PAC ID: 1052218922 Enrollment ID: O20031217001141

Entity Name	Rakesh Ranjan M.d. & Assoc., Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033143722 PECOS PAC ID: 6507895067 Enrollment ID: O20050805000212

Entity Name	Brave Health Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20210519002940

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. Mafon Fomujang 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
Mafon Fomujang, NURSE PRACTITIONER 32638 Harvest Valley Dr, Brookshire, TX 77423-2908 Ph: () -	Mafon Fomujang, NURSE PRACTITIONER 2911 Medical Arts St Ste 10, Austin, TX 78705-3302 Ph: (866) 473-0663

Reviews and Comments

Nurse Practitioner Nurses in Austin, TX

Valerie Maclaurin, APRN, CPNP-AC/PC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5339 N Ih 35 Ste 100, Austin, TX 78723 Phone: 512-628-1898 Fax: 512-600-1849
Anna Bullock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2609 Blake St, Austin, TX 78748 Phone: 512-923-1509
Jennifer Krena, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4900 Mueller Blvd, Austin, TX 78723 Phone: 512-324-0000
Elizabeth Nabila Khan, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11711 N Lamar Blvd, Austin, TX 78753 Phone: 512-599-8349
Jessica Anne Brown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4316 James Casey St, Austin, TX 78745 Phone: 512-623-5300
Kendall Faith Kayworth, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8402 Cross Park Dr, Austin, TX 78754 Phone: 512-549-8021
Ms. Amber Leigh Peoples, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 W 34th St Ste 400, Austin, TX 78705 Phone: 512-459-6599 Fax: 512-459-8496

Mafon Fomujang, NURSE PRACTITIONER - Medicare Nurse Practitioner in Austin, TX