Khotwanaeya A Mwamba, MD in Tyler, TX

Khotwanaeya A Mwamba, MD is a medicare enrolled "Pediatrics" physician in Tyler, Texas. Her current practice location is 2990 N Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 535-9041.

Khotwanaeya A Mwamba is licensed to practice in Texas (license number R6634) 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 1205198421.

Contact Information

	Khotwanaeya A Mwamba, MD
	2990 N Broadway Ave, Tyler, TX 75702-2149
	(903) 535-9041
	Not Available

Map and Direction

Physician's Profile

Full Name	Khotwanaeya A Mwamba
Gender	Female
Speciality	Pediatrics
Location	2990 N Broadway Ave, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205198421
Provider Enumeration Date: 06/13/2012
Last Update Date: 07/17/2024

Medicare PECOS Information:

PECOS PAC ID: 0749593820
Enrollment ID: I20171017003312

Medical Identifiers

Medical identifiers for Khotwanaeya A Mwamba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205198421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R6634 (Texas)	Primary
208000000X	Pediatrics	49873 (Arizona)	Secondary

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. Khotwanaeya A Mwamba allows following entities to bill medicare on her behalf.

Entity Name	Tyler Family Circle Of Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144575820 PECOS PAC ID: 4587812888 Enrollment ID: O20120911000666

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. Khotwanaeya A Mwamba 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
Khotwanaeya A Mwamba, MD 523 S Fannin Ave, Tyler, TX 75702-8204 Ph: (903) 535-9041	Khotwanaeya A Mwamba, MD 2990 N Broadway Ave, Tyler, TX 75702-2149 Ph: (903) 535-9041

Reviews and Comments

Pediatrics Doctors in Tyler, TX

Krystal Castle, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 305 W Rusk St, Tyler, TX 75701 Phone: 903-592-7304
Daniel Jun Park, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942
Mrs. Valerie B Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 Fax: 903-526-3118
Kristina Orey Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-596-3862 Fax: 903-590-5005
Adelina G. Meadows, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942
Dr. Michael David Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St, Tyler, TX 75701 Phone: 903-594-2450 Fax: 903-939-0610
James Riley Davis, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-590-5000 Fax: 903-590-5005

Khotwanaeya A Mwamba, MD - Medicare Pediatrics in Tyler, TX