Susan Wakesho Ngondo, is a medicare enrolled "Nurse Practitioner - Family" physician in Marco Island, Florida. Her current practice location is
127 S Bahama Ave, Marco Island, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 601-5452.
Susan Wakesho Ngondo is licensed to practice in Florida (license number APRN11011868) 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 1962088047.
Physician's Profile
| Full Name | Susan Wakesho Ngondo |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 127 S Bahama Ave, Marco Island, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962088047
- Provider Enumeration Date: 03/20/2021
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789092321
- Enrollment ID: I20210420000407
Medical Identifiers
Medical identifiers for Susan Wakesho Ngondo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962088047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 11011868 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11011868 (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. Susan Wakesho Ngondo allows following entities to bill medicare on her behalf.
| Entity Name | Florida Post Acute Medical Services 1 Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255862439
PECOS PAC ID: 2567729395
Enrollment ID: O20171201002143 |
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| Entity Name | M & H Med Housecalls Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427548304
PECOS PAC ID: 2961750146
Enrollment ID: O20180803001366 |
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| Entity Name | True Compassionate Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871253526
PECOS PAC ID: 0143613950
Enrollment ID: O20220131000528 |
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| Entity Name | Las Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225815830
PECOS PAC ID: 3971957150
Enrollment ID: O20230921001092 |
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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. Susan Wakesho Ngondo 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 |
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Susan Wakesho Ngondo,
127 S Bahama Ave,
Marco Island, FL 34145-5117
Ph: (239) 601-5452 | Susan Wakesho Ngondo,
127 S Bahama Ave,
Marco Island, FL 34145-5117
Ph: (239) 601-5452 |
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