Sophia Etomi Agbomah, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cypress, Texas. Her current practice location is
Memorial Hermann, 27800 Northwest Fwy,, Cypress, Texas. You can reach out to her office (for appointments etc.) via phone at
(346) 231-4000.
Sophia Etomi Agbomah is licensed to practice in Texas (license number 152950) 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 1154080802.
Provider's Profile
| Full Name | Sophia Etomi Agbomah |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | Memorial Hermann, Cypress, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1154080802
- Provider Enumeration Date: 12/09/2021
- Last Update Date: 01/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587186804
- Enrollment ID: I20250317001335
Medical Identifiers
Medical identifiers for Sophia Etomi Agbomah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154080802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 977206 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 152950 (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. Sophia Etomi Agbomah allows following entities to bill medicare on her behalf.
| Entity Name | Texans Anesthesia Associates Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1275733982
PECOS PAC ID: 8820171390
Enrollment ID: O20080207000456 |
|---|
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. Sophia Etomi Agbomah 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 |
|---|
Sophia Etomi Agbomah, CRNA
7615 Legacy Pines Dr,
Cypress, TX 77433-2759
Ph: (512) 704-3595 | Sophia Etomi Agbomah, CRNA
Memorial Hermann, 27800 Northwest Fwy,,
Cypress, TX 77433
Ph: (346) 231-4000 |
Reviews and Comments