Gertrude Mumba-kaunda, in South Bend, IN - Medicare Nurse Practitioner

Gertrude Mumba-kaunda, is a medicare enrolled "Nurse Practitioner - Family" in South Bend, Indiana. Her current practice location is 1901 W Western Ave, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 234-9033.

Gertrude Mumba-kaunda is licensed to practice in Michigan (license number 4704248992) 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 1093146631.

Contact Information

	Gertrude Mumba-kaunda,
	1901 W Western Ave, South Bend, IN 46619-3569
	(574) 234-9033
	(844) 397-1310

Map and Direction

Provider's Profile

Full Name	Gertrude Mumba-kaunda
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1901 W Western Ave, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093146631
Provider Enumeration Date: 12/09/2013
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 4981835626
Enrollment ID: I20150415002017

Medical Identifiers

Medical identifiers for Gertrude Mumba-kaunda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093146631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71005367A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	4704248992 (Michigan)	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. Gertrude Mumba-kaunda allows following entities to bill medicare on her behalf.

Entity Name	Indiana Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159

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. Gertrude Mumba-kaunda 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
Gertrude Mumba-kaunda, 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335	Gertrude Mumba-kaunda, 1901 W Western Ave, South Bend, IN 46619-3569 Ph: (574) 234-9033

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Gertrude Mumba-kaunda, - Medicare Nurse Practitioner in South Bend, IN