Mrs Alexandra Katherine Ebong, DNP, FNP-C in Mesa, AZ

Mrs Alexandra Katherine Ebong, DNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. Her current practice location is 1950 S. Country Club Drive, Ste 102, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 413-0065.

Mrs Alexandra Katherine Ebong is licensed to practice in Arizona (license number AP11166) 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 1831680305.

Contact Information

	Mrs Alexandra Katherine Ebong, DNP, FNP-C
	1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210
	(480) 413-0065
	(480) 413-0069

Map and Direction

Provider's Profile

Full Name	Mrs Alexandra Katherine Ebong
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1950 S. Country Club Drive, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831680305
Provider Enumeration Date: 05/21/2018
Last Update Date: 05/21/2018

Medicare PECOS Information:

PECOS PAC ID: 0345596649
Enrollment ID: I20180628001666

Medical Identifiers

Medical identifiers for Mrs Alexandra Katherine Ebong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831680305	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP11166 (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. Mrs Alexandra Katherine Ebong allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Group Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015

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. Mrs Alexandra Katherine Ebong 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
Mrs Alexandra Katherine Ebong, DNP, FNP-C 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 Ph: (480) 413-0065	Mrs Alexandra Katherine Ebong, DNP, FNP-C 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 Ph: (480) 413-0065

Reviews and Comments

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Mrs Alexandra Katherine Ebong, DNP, FNP-C - Medicare Nurse Practitioner in Mesa, AZ