Jacqueline Mbuagbaw Fosah, in Houston, TX - Medicare Nurse Practitioner

Jacqueline Mbuagbaw Fosah, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Houston, Texas. Her current practice location is 1504 Ben Taub Loop, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (712) 873-2000.

Jacqueline Mbuagbaw Fosah is licensed to practice in Texas (license number AP145962) 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 1164032975.

Contact Information

	Jacqueline Mbuagbaw Fosah,
	1504 Ben Taub Loop, Houston, TX 77030
	(712) 873-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Mbuagbaw Fosah
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1504 Ben Taub Loop, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164032975
Provider Enumeration Date: 08/06/2020
Last Update Date: 08/06/2020

Medicare PECOS Information:

PECOS PAC ID: 4587040308
Enrollment ID: I20221003000940

Medical Identifiers

Medical identifiers for Jacqueline Mbuagbaw Fosah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164032975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP145962 (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. Jacqueline Mbuagbaw Fosah allows following entities to bill medicare on her behalf.

Entity Name	Kinghaven Counseling Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396807350 PECOS PAC ID: 5597898510 Enrollment ID: O20100728000390

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. Jacqueline Mbuagbaw Fosah 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
Jacqueline Mbuagbaw Fosah, 5635 W Harrow Dr, Houston, TX 77084-1869 Ph: (651) 398-2927	Jacqueline Mbuagbaw Fosah, 1504 Ben Taub Loop, Houston, TX 77030 Ph: (712) 873-2000

Reviews and Comments

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Mrs. Judie Ellen Franks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12606 West Houston Center Blvd., Suite #110, Houston, TX 77082 Phone: 281-558-3376 Fax: 281-558-0544
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Megan J Tanner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161
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Jordan L Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161

Jacqueline Mbuagbaw Fosah, - Medicare Nurse Practitioner in Houston, TX