Mrs Mamboh Ngum Yufenyuy, NP in Duluth, GA - Medicare Nurse Practitioner

Mrs Mamboh Ngum Yufenyuy, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Duluth, Georgia. Her current practice location is 1657 Southgate Mill Dr Nw, Duluth, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 977-5976.

Mrs Mamboh Ngum Yufenyuy is licensed to practice in Georgia (license number RN188604) 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 1104174531.

Contact Information

	Mrs Mamboh Ngum Yufenyuy, NP
	1657 Southgate Mill Dr Nw, Duluth, GA 30096
	(678) 977-5976
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mamboh Ngum Yufenyuy
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1657 Southgate Mill Dr Nw, Duluth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104174531
Provider Enumeration Date: 08/15/2012
Last Update Date: 04/12/2022

Medicare PECOS Information:

PECOS PAC ID: 1052547916
Enrollment ID: I20140916000662

Medical Identifiers

Medical identifiers for Mrs Mamboh Ngum Yufenyuy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104174531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP2201X	Registered Nurse - Ambulatory Care	17691 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	RN188604 (Georgia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN188604 (Georgia)	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 Mamboh Ngum Yufenyuy allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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 Mamboh Ngum Yufenyuy 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 Mamboh Ngum Yufenyuy, NP 1657 Southgate Mill Dr Nw, Duluth, GA 30096-8837 Ph: (678) 977-5976	Mrs Mamboh Ngum Yufenyuy, NP 1657 Southgate Mill Dr Nw, Duluth, GA 30096 Ph: (678) 977-5976

Reviews and Comments

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Ms. Jacqueline Hope Maureen Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Stoneham Dr, Duluth, GA 30097 Phone: 706-405-1703
Linda Lee Peabody, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3660 Howell Ferry Rd, Duluth, GA 30096 Phone: 770-670-4640

Mrs Mamboh Ngum Yufenyuy, NP - Medicare Nurse Practitioner in Duluth, GA