Mrs Mable Pankaj, AGNP & WHNP in Desoto, TX - Medicare Nurse Practitioner

Mrs Mable Pankaj, AGNP & WHNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Desoto, Texas. Her current practice location is 1534 N Hampton Rd Ste 100, Desoto, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 405-1934.

Mrs Mable Pankaj is licensed to practice in Texas (license number 633575) 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 1639592926.

Contact Information

	Mrs Mable Pankaj, AGNP & WHNP
	1534 N Hampton Rd Ste 100, Desoto, TX 75115-2493
	(682) 405-1934
	(866) 803-8759

Map and Direction

Provider's Profile

Full Name	Mrs Mable Pankaj
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1534 N Hampton Rd Ste 100, Desoto, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639592926
Provider Enumeration Date: 01/23/2014
Last Update Date: 10/22/2025

Medicare PECOS Information:

PECOS PAC ID: 1153746367
Enrollment ID: I20200805002150

Medical Identifiers

Medical identifiers for Mrs Mable Pankaj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639592926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	633575 (Texas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	633575 (Texas)	Primary

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. Mrs Mable Pankaj allows following entities to bill medicare on her behalf.

Entity Name	Hephzibah Visiting Clinicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083101075 PECOS PAC ID: 1254688641 Enrollment ID: O20180717000196

Entity Name	Beulah Family Clinic Professional Limited Liability Company
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750144150 PECOS PAC ID: 3779924048 Enrollment ID: O20240517000448

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 Mable Pankaj 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
Mrs Mable Pankaj, AGNP & WHNP 1534 N Hampton Rd Ste 100, Desoto, TX 75115-2493 Ph: (682) 405-1934	Mrs Mable Pankaj, AGNP & WHNP 1534 N Hampton Rd Ste 100, Desoto, TX 75115-2493 Ph: (682) 405-1934

Reviews and Comments

Nurse Practitioner Nurses in Desoto, TX

Emelda Olisaeke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 941 York Dr, Desoto, TX 75115 Phone: 972-283-6286
Margaret Uyai Okon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 N Hampton Rd, Suite 100, Desoto, TX 75115 Phone: 972-228-3678
Lori Elizabeth Secerovic, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 South Interstate 35 East, Desoto, TX 75115 Phone: 469-341-7800
Smart Nwachukwu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 341 Crystal Lake Dr, Desoto, TX 75115 Phone: 214-872-0280
Ashlene Alcazar Sanchez, FNP-C, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 726 W Belt Line Rd, Desoto, TX 75115 Phone: 469-495-9152
Crystal Taylor Capler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 York Dr Ste 105, Desoto, TX 75115 Phone: 214-242-9316
Jennifer Mccormack, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2715 Bolton Boone Dr Ste B, Desoto, TX 75115 Phone: 972-780-8009 Fax: 972-780-6115

Mrs Mable Pankaj, AGNP & WHNP - Medicare Nurse Practitioner in Desoto, TX