Mrs Ethel Mbombow, PA-C - Medicare Physician Assistant in Eastpointe, MI

Mrs Ethel Mbombow, PA-C is a medicare enrolled "Physician Assistant" in Eastpointe, Michigan. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cns Healthcare and her current practice location is 21409 Kelly Rd, Suite 400, Eastpointe, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 777-0630.

Mrs Ethel Mbombow is licensed to practice in Michigan (license number 5601005700) 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 1801121348.

Contact Information

Mrs Ethel Mbombow, PA-C
21409 Kelly Rd, Suite 400,
Eastpointe, MI 48021-3264
(586) 777-0630
(586) 777-0631

Map and Direction




Provider's Profile

Full NameMrs Ethel Mbombow
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location21409 Kelly Rd, Eastpointe, Michigan
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:
  • Mrs Ethel Mbombow graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1801121348
  • Provider Enumeration Date: 10/15/2009
  • Last Update Date: 07/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1456475367
  • Enrollment ID: I20100830000719

Medical Identifiers

Medical identifiers for Mrs Ethel Mbombow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801121348NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601005700 (Michigan)Primary
207R00000XInternal Medicine 1088784 (Michigan)Secondary
207R00000XInternal Medicine 5601005700 (Michigan)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cns Healthcare872998019828

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. Mrs Ethel Mbombow 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
Mrs Ethel Mbombow, PA-C
4967 Crooks Rd, Ste 130,
Troy, MI 48098-5801

Ph: (248) 952-1601
Mrs Ethel Mbombow, PA-C
21409 Kelly Rd, Suite 400,
Eastpointe, MI 48021-3264

Ph: (586) 777-0630

Reviews and Comments


Physician Assistant Nurses in Eastpointe, MI

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Sarah Tomlinson, PA-C
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Medicare: Medicare Enrolled
Practice Location: 22471 Gratiot Ave, Eastpointe, MI 48021
Phone: 586-218-7774    
Kathy Nicole Cooley, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 21409 Kelly Rd, Suite 400, Eastpointe, MI 48021
Phone: 586-777-0630    Fax: 586-777-0631

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.