Nicole E Mubanga, MD - Medicare Family Practice in Milwaukee, WI

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Nicole E Mubanga, MD is a medicare enrolled "Family Medicine" physician in Milwaukee, Wisconsin. She went to Medical College Of Wisconsin and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Outreach Community Health Centers Inc, Aurora Advanced Healthcare Inc and her current practice location is 3003 W Good Hope Rd, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 352-3100.

Nicole E Mubanga is licensed to practice in Wisconsin (license number 63433) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1285976563.

Contact Information

Nicole E Mubanga, MD
3003 W Good Hope Rd,
Milwaukee, WI 53209
(414) 352-3100
Not Available

Map and Direction




Physician's Profile

Full NameNicole E Mubanga
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location3003 W Good Hope Rd, Milwaukee, Wisconsin
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole E Mubanga attended and graduated from Medical College Of Wisconsin in 2013
  NPI Data:
  • NPI Number: 1285976563
  • Provider Enumeration Date: 03/25/2013
  • Last Update Date: 11/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527285030
  • Enrollment ID: I20161007000817

Medical Identifiers

Medical identifiers for Nicole E Mubanga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285976563NPI-NPPES
1285976563MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 63433-20 (Wisconsin)Secondary
207Q00000XFamily Medicine 63433 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Outreach Community Health Centers Inc135524773522
Aurora Advanced Healthcare Inc3375625833928

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. Nicole E Mubanga allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameKenosha Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265435960
PECOS PAC ID: 0941195168
Enrollment ID: O20040217000840
Entity NameOutreach Community Health Centers Inc
Entity TypePart A Provider - Federally Qualified Health Center (fqhc)
Entity IdentifiersNPI Number: 1932357126
PECOS PAC ID: 1355247735
Enrollment ID: O20040223000414
Entity NameMilwaukee Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518005818
PECOS PAC ID: 7416946884
Enrollment ID: O20040511000114
Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Nicole E Mubanga 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
Nicole E Mubanga, MD
3003 W Good Hope Rd,
Milwaukee, WI 53209-2042

Ph: (414) 352-3100		Nicole E Mubanga, MD
3003 W Good Hope Rd,
Milwaukee, WI 53209

Ph: (414) 352-3100

Reviews and Comments


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Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209
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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.