Rudo P Madondo-gwitira, is a medicare enrolled "Nurse Practitioner - Family" physician in Dallas, Texas. Her current practice location is
3920 W Wheatland Rd Ste 140, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 283-5998.
Rudo P Madondo-gwitira is licensed to practice in Texas (license number 1014042) 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 1396351474.
Physician's Profile
Full Name | Rudo P Madondo-gwitira |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3920 W Wheatland Rd Ste 140, Dallas, Texas |
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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: 1396351474
- Provider Enumeration Date: 09/23/2020
- Last Update Date: 09/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961811690
- Enrollment ID: I20210511000697
Medical Identifiers
Medical identifiers for Rudo P Madondo-gwitira such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396351474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1014042 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1014042 (Texas) | 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. Rudo P Madondo-gwitira allows following entities to bill medicare on her behalf.
Entity Name | Texas Health Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
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Entity Name | Kelsom Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104840594 PECOS PAC ID: 1254391857 Enrollment ID: O20050526000628 |
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Entity Name | Gaps Collaborative Tx |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992372981 PECOS PAC ID: 8426455619 Enrollment ID: O20210930003212 |
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Entity Name | Infinite Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20211019000012 |
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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. Rudo P Madondo-gwitira 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 |
Rudo P Madondo-gwitira, 3920 W Wheatland Rd Ste 140, Dallas, TX 75237-3404 Ph: (972) 283-5998 | Rudo P Madondo-gwitira, 3920 W Wheatland Rd Ste 140, Dallas, TX 75237-3404 Ph: (972) 283-5998 |
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