Mrs Stephanie Nichole Mukangu, FNP in Smyrna, GA

Mrs Stephanie Nichole Mukangu, FNP is a medicare enrolled "Nurse Practitioner - Family" in Smyrna, Georgia. Her current practice location is 2994 Atlanta Rd Se, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 435-2178.

Mrs Stephanie Nichole Mukangu is licensed to practice in Georgia (license number RN293669) 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 1073193652.

Contact Information

	Mrs Stephanie Nichole Mukangu, FNP
	2994 Atlanta Rd Se, Smyrna, GA 30080-3655
	(770) 435-2178
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie Nichole Mukangu
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2994 Atlanta Rd Se, Smyrna, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073193652
Provider Enumeration Date: 04/08/2021
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 7113328592
Enrollment ID: I20210623000124

Medical Identifiers

Medical identifiers for Mrs Stephanie Nichole Mukangu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073193652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN293669 (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 Stephanie Nichole Mukangu allows following entities to bill medicare on her behalf.

Entity Name	Southeast Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347

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 Stephanie Nichole Mukangu 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 Stephanie Nichole Mukangu, FNP 340 Bramford Way Nw, Kennesaw, GA 30144-1337 Ph: (563) 508-4796	Mrs Stephanie Nichole Mukangu, FNP 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 Ph: (770) 435-2178

Reviews and Comments

Nurse Practitioner Nurses in Smyrna, GA

Dr. Takiyah Jones, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Highlands Pkwy Se Ste 400, Smyrna, GA 30082 Phone: 888-588-8995 Fax: 510-756-0812
Ms. Denise Danielle Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3295 S Cobb Dr Se, Smyrna, GA 30080 Phone: 678-723-6671
Brooke L Kahler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3948 Central Garden Ct Se, Smyrna, GA 30080 Phone: 785-806-8612
Kelly Ann Borders, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4441 Atlanta Rd Se Ste 319, Smyrna, GA 30080 Phone: 770-792-6262
Erin Ferguson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080 Phone: 770-801-5000
Mrs. Yuri Ayana Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-435-2178
Priscilla Elyse Colpo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3634 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 770-970-0858

Mrs Stephanie Nichole Mukangu, FNP - Medicare Nurse Practitioner in Smyrna, GA