Nkemngong Roseline Ndiachi, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Temple Terrace, Florida. Her current practice location is
11125 N 52nd St, Temple Terrace, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 453-3881.
Nkemngong Roseline Ndiachi is licensed to practice in Florida (license number 11032442) 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 1366290504.
Physician's Profile
Full Name | Nkemngong Roseline Ndiachi |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 11125 N 52nd St, Temple Terrace, Florida |
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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: 1366290504
- Provider Enumeration Date: 05/13/2024
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244765451
- Enrollment ID: I20241125004020
Medical Identifiers
Medical identifiers for Nkemngong Roseline Ndiachi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366290504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LH0002X | Anesthesiology - Hospice And Palliative Medicine | 11032442 (Florida) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 11032442 (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. Nkemngong Roseline Ndiachi allows following entities to bill medicare on her behalf.
Entity Name | Ultra Health Providers Of Florida |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528549490 PECOS PAC ID: 9335487255 Enrollment ID: O20190219000020 |
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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. Nkemngong Roseline Ndiachi 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 |
Nkemngong Roseline Ndiachi, APRN 11125 N 52nd St, Temple Terrace, FL 33617-2842 Ph: (813) 453-3881 | Nkemngong Roseline Ndiachi, APRN 11125 N 52nd St, Temple Terrace, FL 33617-2842 Ph: (813) 453-3881 |
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