Mr Emmanuel Agwagom, RN is a
Case Manager/care Coordinator based in Arlington, Texas. Mr Emmanuel Agwagom is licensed to practice in Texas (license number 742099) and his current practice location is
1515 Grey Willow Ln, Arlington, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 719-3775.
NPI number for Mr Emmanuel Agwagom is 1114249299 and his current mailing address is 1515 Grey Willow Ln, Arlington, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114249299.
Provider's Profile
| Full Name | Mr Emmanuel Agwagom |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
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| Location | 1515 Grey Willow Ln, Arlington, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114249299
- Provider Enumeration Date: 02/17/2010
- Last Update Date: 02/17/2010
Medical Identifiers
Medical identifiers for Mr Emmanuel Agwagom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114249299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 742099 (Texas) | Secondary |
| 163WC1500X | Registered Nurse - Community Health | 26NR11805800 (New Jersey) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 742099 (Texas) | Primary |
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. Mr Emmanuel Agwagom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Emmanuel Agwagom, RN
1515 Grey Willow Ln,
Arlington, TX 76002-4633
Ph: (817) 719-3775 | Mr Emmanuel Agwagom, RN
1515 Grey Willow Ln,
Arlington, TX 76002-4633
Ph: (817) 719-3775 |
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