Mr Martin Ngu Kwale Pong, PMHNP-BC in Phoenix, AZ

Mr Martin Ngu Kwale Pong, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. His current practice location is 4338 W Thomas Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (682) 307-0864.

Mr Martin Ngu Kwale Pong is licensed to practice in Arizona (license number 280285) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245935204.

Contact Information

	Mr Martin Ngu Kwale Pong, PMHNP-BC
	4338 W Thomas Rd, Phoenix, AZ 85031-3878
	(682) 307-0864
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Martin Ngu Kwale Pong
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4338 W Thomas Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245935204
Provider Enumeration Date: 03/31/2023
Last Update Date: 04/05/2023

Medicare PECOS Information:

PECOS PAC ID: 3476911942
Enrollment ID: I20230615002989

Medical Identifiers

Medical identifiers for Mr Martin Ngu Kwale Pong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245935204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	280285 (Arizona)	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. Mr Martin Ngu Kwale Pong allows following entities to bill medicare on his behalf.

Entity Name	Health Group Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932560729 PECOS PAC ID: 9335430693 Enrollment ID: O20160617000240

Entity Name	Roya Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396453916 PECOS PAC ID: 3476907312 Enrollment ID: O20230927001061

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 Martin Ngu Kwale Pong 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
Mr Martin Ngu Kwale Pong, PMHNP-BC 4338 W Thomas Rd, Phoenix, AZ 85031-3878 Ph: (682) 307-0864	Mr Martin Ngu Kwale Pong, PMHNP-BC 4338 W Thomas Rd, Phoenix, AZ 85031-3878 Ph: (682) 307-0864

Reviews and Comments

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Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
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Mr Martin Ngu Kwale Pong, PMHNP-BC - Medicare Nurse Practitioner in Phoenix, AZ