Mr Lubasi Akombelwa, NP in Belleville, IL - Medicare Nurse Practitioner

Mr Lubasi Akombelwa, NP is a medicare enrolled "Nurse Practitioner" in Belleville, Illinois. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeastern Physician Services Pc and his current practice location is 4500 Memorial Dr, Belleville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 257-6220.

Mr Lubasi Akombelwa is licensed to practice in Illinois (license number 209032027) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811489479.

Contact Information

	Mr Lubasi Akombelwa, NP
	4500 Memorial Dr, Belleville, IL 62226-5360
	(618) 257-6220
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Lubasi Akombelwa
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	4500 Memorial Dr, Belleville, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Lubasi Akombelwa graduated from nursing school in 2017

NPI Data:

NPI Number: 1811489479
Provider Enumeration Date: 05/30/2018
Last Update Date: 09/17/2025

Medicare PECOS Information:

PECOS PAC ID: 5193060135
Enrollment ID: I20181220000841

Medical Identifiers

Medical identifiers for Mr Lubasi Akombelwa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811489479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209032027 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christian Hospital Northeast	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Physician Services Pc	0042307852	529

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. Mr Lubasi Akombelwa allows following entities to bill medicare on his behalf.

Entity Name	Fairview Heights Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20060302000596

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235

Entity Name	Impact Physician Group Missouri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962971531 PECOS PAC ID: 4082958574 Enrollment ID: O20181211001514

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. Mr Lubasi Akombelwa 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
Mr Lubasi Akombelwa, NP Po Box 959203, Saint Louis, MO 63195-9203 Ph: (618) 257-6220	Mr Lubasi Akombelwa, NP 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-6220

Reviews and Comments

Nurse Practitioner Nurses in Belleville, IL

Kelsey Beasley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3060 Harvest Meadow Dr, Belleville, IL 62221 Phone: 618-792-8887
Ms. Lauren Nicole Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5455 Fax: 618-257-4490
Mr. Lito T Rufin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Cindy L. Auld, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste. 400, Belleville, IL 62226 Phone: 618-234-2390 Fax: 618-234-9936
Pamela A O'neal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679
Mrs. Michelle Veronica Jacob, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Anesthesiology, Belleville, IL 62226 Phone: 800-862-9980 Fax: 314-362-7785

Mr Lubasi Akombelwa, NP - Medicare Nurse Practitioner in Belleville, IL