Philippe Fernand Nyembo, MD is a medicare enrolled "Hospitalist" physician in Quincy, Illinois. His current practice location is
1005 Broadway St, Quincy, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 223-1200.
Philippe Fernand Nyembo is licensed to practice in Illinois (license number 036169486) 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 1578136925.
Physician's Profile
Full Name | Philippe Fernand Nyembo |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1005 Broadway St, Quincy, Illinois |
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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: 1578136925
- Provider Enumeration Date: 07/22/2021
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971048075
- Enrollment ID: I20240712003323
Medical Identifiers
Medical identifiers for Philippe Fernand Nyembo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578136925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 036169486 (Illinois) | Primary |
207R00000X | Internal Medicine | 036169486 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 32074 (Minnesota) | 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. Philippe Fernand Nyembo allows following entities to bill medicare on his behalf.
Entity Name | Blessing Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1235656745 PECOS PAC ID: 3072422534 Enrollment ID: O20171016002218 |
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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. Philippe Fernand Nyembo 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 |
Philippe Fernand Nyembo, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-1200 | Philippe Fernand Nyembo, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-1200 |
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