Mwajuma Denise Teague, is a medicare enrolled "Family Medicine" in Niceville, Florida. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alw Enterprises, Pa and her current practice location is
1001 College Blvd W Ste B1, Niceville, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 252-4303.
Mwajuma Denise Teague is licensed to practice in Florida (license number 11032445) 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 1528710795.
Provider's Profile
| Full Name | Mwajuma Denise Teague |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 2 Years |
|---|
| Location | 1001 College Blvd W Ste B1, Niceville, Florida |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mwajuma Denise Teague graduated from nursing school in 2023
NPI Data:
- NPI Number: 1528710795
- Provider Enumeration Date: 01/19/2022
- Last Update Date: 08/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072054113
- Enrollment ID: I20240917002697
Medical Identifiers
Medical identifiers for Mwajuma Denise Teague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528710795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN270060 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | RN270060 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 11032445 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Alw Enterprises, Pa | 1850620493 | 2 |
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. Mwajuma Denise Teague allows following entities to bill medicare on her behalf.
| Entity Name | Alw Enterprises, Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1548820798
PECOS PAC ID: 1850620493
Enrollment ID: O20190909000202 |
|---|
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. Mwajuma Denise Teague 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 |
|---|
Mwajuma Denise Teague,
1223 Bob Kirby Rd,
Knoxville, TN 37931-4802
Ph: (850) 374-1082 | Mwajuma Denise Teague,
1001 College Blvd W Ste B1,
Niceville, FL 32578-1049
Ph: (850) 252-4303 |
Reviews and Comments