Mulham Ombada, is a medicare enrolled "Internal Medicine" provider in Buffalo, New York. His current practice location is
Elm And Carlton St, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 845-2300.
Mulham Ombada is licensed to practice in New York (license number 331922) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093394207.
Healthcare Provider's Profile
| Full Name | Mulham Ombada |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | Elm And Carlton St, Buffalo, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093394207
- Provider Enumeration Date: 04/05/2021
- Last Update Date: 04/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214478288
- Enrollment ID: I20240917004370
Medical Identifiers
Medical identifiers for Mulham Ombada such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093394207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 331922 (New York) | Secondary |
| 363A00000X | Physician Assistant | 331922 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 331922 (New York) | Secondary |
| 207R00000X | Internal Medicine | 331922 (New York) | 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. Mulham Ombada allows following entities to bill medicare on his behalf.
| Provider Name | Apogee Medical Group, New York, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841520236
PECOS PAC ID: 4587793294
Enrollment ID: O20100518000664 |
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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. Mulham Ombada 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 |
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Mulham Ombada,
750 E Adams St,
Syracuse, NY 13210-2306
Ph: () - | Mulham Ombada,
Elm And Carlton St,
Buffalo, NY 14263-0001
Ph: (716) 845-2300 |
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