Brent Lusamba-kasende Kamba, FNP-C - Medicare Counselor in Chandler, AZ

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Brent Lusamba-kasende Kamba, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Chandler, Arizona. His current practice location is 261 N Roosevelt Ave, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (801) 688-4952.

Brent Lusamba-kasende Kamba is licensed to practice in Arizona (license number 297664) 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 1194217760.

Contact Information

Brent Lusamba-kasende Kamba, FNP-C
261 N Roosevelt Ave,
Chandler, AZ 85226-2617
(801) 688-4952
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameBrent Lusamba-kasende Kamba
GenderMale
SpecialityNurse Practitioner - Family
Location261 N Roosevelt Ave, Chandler, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194217760
  • Provider Enumeration Date: 05/30/2018
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799130720
  • Enrollment ID: I20231011003469

Medical Identifiers

Medical identifiers for Brent Lusamba-kasende Kamba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194217760NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family 297664 (Arizona)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. Brent Lusamba-kasende Kamba allows following entities to bill medicare on his behalf.
Entity NameGood Health Medical, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144764432
PECOS PAC ID: 3779680962
Enrollment ID: O20070523000237

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. Brent Lusamba-kasende Kamba 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 AddressPractice Location Address
Brent Lusamba-kasende Kamba, FNP-C
6013 S Redwood Rd,
Taylorsville, UT 84123-5220

Ph: (801) 255-5131		Brent Lusamba-kasende Kamba, FNP-C
261 N Roosevelt Ave,
Chandler, AZ 85226-2617

Ph: (801) 688-4952

Reviews and Comments


Nurse Practitioner in Chandler, AZ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.