Stanley Dingbobga Fomban, APRN in Riverview, FL

Stanley Dingbobga Fomban, APRN is a medicare enrolled "Nurse Practitioner - Family" in Riverview, Florida. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Baycare Medical Group, Inc. and his current practice location is 6901 Simmons Loop Fl 4, Riverview, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 302-8388.

Stanley Dingbobga Fomban is licensed to practice in Florida (license number APRN11021138) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639890908.

Contact Information

	Stanley Dingbobga Fomban, APRN
	6901 Simmons Loop Fl 4, Riverview, FL 33578-9498
	(813) 302-8388
	Not Available

Map and Direction

Provider's Profile

Full Name	Stanley Dingbobga Fomban
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	6901 Simmons Loop Fl 4, Riverview, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stanley Dingbobga Fomban graduated from nursing school in 2022

NPI Data:

NPI Number: 1639890908
Provider Enumeration Date: 09/06/2022
Last Update Date: 08/04/2024

Medicare PECOS Information:

PECOS PAC ID: 9537538988
Enrollment ID: I20221207002334

Medical Identifiers

Medical identifiers for Stanley Dingbobga Fomban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639890908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11021138 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Medical Group, Inc.	6406753623	1356

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. Stanley Dingbobga Fomban allows following entities to bill medicare on his behalf.

Entity Name	Baycare Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718

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. Stanley Dingbobga Fomban 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
Stanley Dingbobga Fomban, APRN 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 532-0002	Stanley Dingbobga Fomban, APRN 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 Ph: (813) 302-8388

Reviews and Comments

Nurse Practitioner Nurses in Riverview, FL

Kimberly Havers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6901 Simmons Loop, Riverview, FL 33578 Phone: 813-302-8400
Tamara Paul, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5905 Us 301 S, Riverview, FL 33578 Phone: 866-389-2727
Krystle Alvarez, APRN, FNP-C, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11145 Winthrop Lake Dr, Riverview, FL 33578 Phone: 786-897-4540 Fax: 305-418-8971
Claudia Pineda, ARNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10627 Rhodine Rd, Riverview, FL 33578 Phone: 813-605-3235 Fax: 813-605-6229
Jessica Anderson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13127 Vail Ridge Dr, Riverview, FL 33579 Phone: 813-393-0278
Michaella Phanord, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11409 Misty Isle Ln, Riverview, FL 33579 Phone: 954-663-1069
Melissa Garrison Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7229 Us Highway 301 S, Riverview, FL 33578 Phone: 813-677-8418 Fax: 813-355-5906

Stanley Dingbobga Fomban, APRN - Medicare Nurse Practitioner in Riverview, FL