Nballu Goba, FNP in Minnetonka, MN - Medicare Nurse Practitioner

Nballu Goba, FNP is a medicare enrolled "Nurse Practitioner - Family" in Minnetonka, Minnesota. Her current practice location is 9900 Bren Rd E, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (404) 291-4680.

Nballu Goba is licensed to practice in Georgia (license number 0184367) 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 1386169241.

Contact Information

	Nballu Goba, FNP
	9900 Bren Rd E, Minnetonka, MN 55343-9664
	(404) 291-4680
	Not Available

Map and Direction

Provider's Profile

Full Name	Nballu Goba
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9900 Bren Rd E, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386169241
Provider Enumeration Date: 08/11/2017
Last Update Date: 09/22/2020

Medicare PECOS Information:

PECOS PAC ID: 7618223355
Enrollment ID: I20180724004214

Medical Identifiers

Medical identifiers for Nballu Goba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386169241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0184367 (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. Nballu Goba allows following entities to bill medicare on her behalf.

Entity Name	Reliance Health And Home Physician Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740638436 PECOS PAC ID: 4385920107 Enrollment ID: O20170411000111

Entity Name	Metro Infectious Disease Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20170829003039

Entity Name	Wellbe Senior Medical Group Of Georgia, P. C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205463163 PECOS PAC ID: 3375972243 Enrollment ID: O20200601002024

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. Nballu Goba 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
Nballu Goba, FNP 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (404) 291-4680	Nballu Goba, FNP 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (404) 291-4680

Reviews and Comments

Nurse Practitioner Nurses in Minnetonka, MN

Mavis Osei Yeboah, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 336-549-6221
Alane Renee Hartlage, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 608-286-0556
Dawn M Schaefer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 414-477-9978
Rose M Paz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 Phone: 855-247-8847
Raul Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 915-218-8568
Ms. Susanna Monroe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 Phone: 941-875-5890
Karry Ermita Audain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 305-432-1249

Nballu Goba, FNP - Medicare Nurse Practitioner in Minnetonka, MN