Mrs Gwendoline Mbaku, FNP in Dallas, TX - Medicare Nurse Practitioner

Mrs Gwendoline Mbaku, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dallas, Texas. Her current practice location is 3133 E Lemmon Ave, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Gwendoline Mbaku is licensed to practice in Texas (license number AP129670) 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 1447624853.

Contact Information

	Mrs Gwendoline Mbaku, FNP
	3133 E Lemmon Ave, Dallas, TX 75204-1411
	(866) 389-2727
	(401) 216-3854

Map and Direction

Provider's Profile

Full Name	Mrs Gwendoline Mbaku
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3133 E Lemmon Ave, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447624853
Provider Enumeration Date: 11/23/2015
Last Update Date: 10/07/2016

Medicare PECOS Information:

PECOS PAC ID: 0345544037
Enrollment ID: I20160201000036

Medical Identifiers

Medical identifiers for Mrs Gwendoline Mbaku such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447624853	NPI	-	NPPES
3567679	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP129670 (Texas)	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 Gwendoline Mbaku allows following entities to bill medicare on her behalf.

Entity Name	Legacy Physiatry Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20070907000584

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 Gwendoline Mbaku 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 Gwendoline Mbaku, FNP 15175 Palo Pinto Dr, Frisco, TX 75035-5556 Ph: (214) 682-5236	Mrs Gwendoline Mbaku, FNP 3133 E Lemmon Ave, Dallas, TX 75204-1411 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Mrs Gwendoline Mbaku, FNP - Medicare Nurse Practitioner in Dallas, TX