Hind Mamdouh, APRN is a medicare enrolled "Nurse Practitioner" physician in Jacksonville, Florida. Her current practice location is
1301 Palm Ave, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 202-7300.
Hind Mamdouh is licensed to practice in Florida (license number APRN11024718) 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 1902508351.
Physician's Profile
| Full Name | Hind Mamdouh |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1301 Palm Ave, Jacksonville, Florida |
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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: 1902508351
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 08/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446616908
- Enrollment ID: I20230525002431
Medical Identifiers
Medical identifiers for Hind Mamdouh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902508351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0205X | Radiology - Radiological Physics | 2085R0205X (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11024718 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11024718 (Florida) | 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. Hind Mamdouh allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Md Anderson Cancer Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538593124
PECOS PAC ID: 5991932063
Enrollment ID: O20131217000276 |
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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. Hind Mamdouh 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 |
|---|
Hind Mamdouh, APRN
Po Box 746654,
Atlanta, GA 30374-6654
Ph: (904) 202-2092 | Hind Mamdouh, APRN
1301 Palm Ave,
Jacksonville, FL 32207-8432
Ph: (904) 202-7300 |
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