Enobong C Udo, A-GNP - Medicare Nurse Practitioner in Dallas, TX

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Enobong C Udo, A-GNP is a medicare enrolled "Nurse Practitioner" in Dallas, Texas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dallas County Hospital District, Odette Louise Campbell, Md, Pa and her current practice location is 2231 Butler St, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 590-0409.

Enobong C Udo is licensed to practice in Texas (license number AP137519) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124518253.

Contact Information

Enobong C Udo, A-GNP
2231 Butler St,
Dallas, TX 75235-7826
(214) 590-0409
(214) 590-0413

Map and Direction




Provider's Profile

Full NameEnobong C Udo
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2231 Butler St, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Enobong C Udo graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1124518253
  • Provider Enumeration Date: 05/15/2018
  • Last Update Date: 08/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072862242
  • Enrollment ID: I20180821002634

Medical Identifiers

Medical identifiers for Enobong C Udo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124518253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health AP137519 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology AP137519 (Texas)Secondary
363LP2300XNurse Practitioner - Primary Care AP137519 (Texas)Secondary
363L00000XNurse Practitioner AP137519 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkland Health & Hospital SystemDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dallas County Hospital District8325934813483
Odette Louise Campbell, Md, Pa93353018299

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. Enobong C Udo allows following entities to bill medicare on her behalf.
Entity NameDallas County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831198506
PECOS PAC ID: 8325934813
Enrollment ID: O20040315000583
Entity NameSolar Health, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376724948
PECOS PAC ID: 3577625524
Enrollment ID: O20081229000479
Entity NamePyramid Pain And Rehab P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063655124
PECOS PAC ID: 3779634373
Enrollment ID: O20090622000289
Entity NameOdette Louise Campbell, Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366750325
PECOS PAC ID: 9335301829
Enrollment ID: O20120430000114

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. Enobong C Udo 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 AddressPractice Location Address
Enobong C Udo, A-GNP
2231 Butler St,
Dallas, TX 75235-7826

Ph: (214) 590-0409		Enobong C Udo, A-GNP
2231 Butler St,
Dallas, TX 75235-7826

Ph: (214) 590-0409

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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