Mirianda Mazongeh Ndaptso, in Marietta, GA - Medicare Nurse Practitioner

Mirianda Mazongeh Ndaptso, is a medicare enrolled "Nurse Practitioner" in Marietta, Georgia. Her current practice location is 3008 Edgefield Dr Sw, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 497-5145.

Mirianda Mazongeh Ndaptso is licensed to practice in Georgia (license number GAA-NPO00690) 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 1205429941.

Contact Information

	Mirianda Mazongeh Ndaptso,
	3008 Edgefield Dr Sw, Marietta, GA 30008-7665
	(678) 497-5145
	Not Available

Map and Direction

Provider's Profile

Full Name	Mirianda Mazongeh Ndaptso
Gender	Female
Speciality	Nurse Practitioner
Location	3008 Edgefield Dr Sw, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205429941
Provider Enumeration Date: 02/13/2021
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2769885201
Enrollment ID: I20221005001918

Medical Identifiers

Medical identifiers for Mirianda Mazongeh Ndaptso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205429941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC1500X	Nurse Practitioner - Community Health	2016043488 (Missouri)	Secondary
363L00000X	Nurse Practitioner	GAA-NPO00690 (Georgia)	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. Mirianda Mazongeh Ndaptso allows following entities to bill medicare on her behalf.

Entity Name	Essential Mental And Healthcare Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568057487 PECOS PAC ID: 5597168039 Enrollment ID: O20221005001354

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. Mirianda Mazongeh Ndaptso 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
Mirianda Mazongeh Ndaptso, 3008 Edgefield Dr Sw, Marietta, GA 30008-7665 Ph: (678) 497-5145	Mirianda Mazongeh Ndaptso, 3008 Edgefield Dr Sw, Marietta, GA 30008-7665 Ph: (678) 497-5145

Reviews and Comments

Nurse Practitioner Nurses in Marietta, GA

Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938
Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198
Dr. Ibisa Comfort Onyirimba, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 Hurt Rd Sw, Marietta, GA 30008 Phone: 404-934-2420
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444
Ms. Trina Renee Cain, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 678-458-5311

Mirianda Mazongeh Ndaptso, - Medicare Nurse Practitioner in Marietta, GA