Mr Lubasi Akombelwa, NP - Medicare Nurse Practitioner in Saint Louis, MO

Mr Lubasi Akombelwa, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Saint Louis, Missouri. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeastern Physician Services Pc and his current practice location is 2880 Netherton Dr Ste 200, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 355-5300.

Mr Lubasi Akombelwa is licensed to practice in Missouri (license number 2017040277) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811489479.

Contact Information

Mr Lubasi Akombelwa, NP
2880 Netherton Dr Ste 200,
Saint Louis, MO 63136-4697
(314) 355-5300
Not Available

Map and Direction




Provider's Profile

Full NameMr Lubasi Akombelwa
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location2880 Netherton Dr Ste 200, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Lubasi Akombelwa graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1811489479
  • Provider Enumeration Date: 05/30/2018
  • Last Update Date: 05/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5193060135
  • Enrollment ID: I20181220000841

Medical Identifiers

Medical identifiers for Mr Lubasi Akombelwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811489479NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 2017040277 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christian Hospital NortheastSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852499

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. Mr Lubasi Akombelwa allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235
Entity NameImpact Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114428612
PECOS PAC ID: 6204199086
Enrollment ID: O20180920002447
Entity NameImpact Physician Group Missouri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962971531
PECOS PAC ID: 4082958574
Enrollment ID: O20181211001514

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 Lubasi Akombelwa 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
Mr Lubasi Akombelwa, NP
2880 Netherton Dr Ste 200,
Saint Louis, MO 63136-4697

Ph: (314) 355-5300
Mr Lubasi Akombelwa, NP
2880 Netherton Dr Ste 200,
Saint Louis, MO 63136-4697

Ph: (314) 355-5300

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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