Caroline Namirembe Mayengo, DNP, AGPNP-C in Los Angeles, CA

Caroline Namirembe Mayengo, DNP, AGPNP-C is a medicare enrolled "Nurse Practitioner" in Los Angeles, California. Her current practice location is 1655 S Western Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 737-5200.

Caroline Namirembe Mayengo is licensed to practice in California (license number 95020746) 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 1699419366.

Contact Information

	Caroline Namirembe Mayengo, DNP, AGPNP-C
	1655 S Western Ave, Los Angeles, CA 90006-5801
	(323) 737-5200
	(323) 737-5400

Map and Direction

Provider's Profile

Full Name	Caroline Namirembe Mayengo
Gender	Female
Speciality	Nurse Practitioner
Location	1655 S Western Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699419366
Provider Enumeration Date: 04/27/2022
Last Update Date: 04/27/2022

Medicare PECOS Information:

PECOS PAC ID: 7214307172
Enrollment ID: I20230110002505

Medical Identifiers

Medical identifiers for Caroline Namirembe Mayengo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699419366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	95020746 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	95020746 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95020746 (California)	Secondary
363L00000X	Nurse Practitioner	95020746 (California)	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. Caroline Namirembe Mayengo allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910

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. Caroline Namirembe Mayengo 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
Caroline Namirembe Mayengo, DNP, AGPNP-C 1655 S Western Ave, Los Angeles, CA 90006-5801 Ph: (323) 737-5200	Caroline Namirembe Mayengo, DNP, AGPNP-C 1655 S Western Ave, Los Angeles, CA 90006-5801 Ph: (323) 737-5200

Reviews and Comments

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Caroline Namirembe Mayengo, DNP, AGPNP-C - Medicare Nurse Practitioner in Los Angeles, CA