Dr Edwin Nyamwaya Mogaka, MD is a medicare enrolled "Family Medicine" physician in Tobyhanna, Pennsylvania. His current practice location is
100 Community Dr, Tobyhanna, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 895-2300.
Dr Edwin Nyamwaya Mogaka is licensed to practice in Pennsylvania (license number MD484471) 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 1417537655.
Physician's Profile
Full Name | Dr Edwin Nyamwaya Mogaka |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 100 Community Dr, Tobyhanna, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417537655
- Provider Enumeration Date: 04/12/2021
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123423399
- Enrollment ID: I20240825000074
Medical Identifiers
Medical identifiers for Dr Edwin Nyamwaya Mogaka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417537655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MT223964 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | MD484471 (Pennsylvania) | 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. Dr Edwin Nyamwaya Mogaka allows following entities to bill medicare on his behalf.
Entity Name | Family Care Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
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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. Dr Edwin Nyamwaya Mogaka 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 |
Dr Edwin Nyamwaya Mogaka, MD 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Dr Edwin Nyamwaya Mogaka, MD 100 Community Dr, Tobyhanna, PA 18466-8985 Ph: (570) 895-2300 |
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