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

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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 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Post Acute Specialists Of Texas 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 NameMafon Fomujang
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location2911 Medical Arts St Ste 10, Austin, Texas
Accepts Medicare AssignmentsYes. 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: I20230502002528

Medical Identifiers

Medical identifiers for Mafon Fomujang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013442102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 023666 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.023666 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1048371 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Post Acute Specialists Of Texas Pa276981457322

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 NamePost Acute Specialists Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942859350
PECOS PAC ID: 2769814573
Enrollment ID: O20191118000071
Entity NameBrave Health Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225669161
PECOS PAC ID: 9537586052
Enrollment ID: O20201113000093
Entity NameSupportive Minds
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649820416
PECOS PAC ID: 0840522371
Enrollment ID: O20230502001368
Entity NameSupportive Minds Professional Limited Liability Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083308746
PECOS PAC ID: 8123486883
Enrollment ID: O20230628000991

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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.