Mwajuma Denise Teague, is a medicare enrolled "Family Medicine" in Niceville, Florida. Her current practice location is
1001 College Blvd W Ste B1, Niceville, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 252-4303.
Mwajuma Denise Teague is licensed to practice in Florida (license number 11032445) 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 1528710795.
Provider's Profile
| Full Name | Mwajuma Denise Teague |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1001 College Blvd W Ste B1, Niceville, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528710795
- Provider Enumeration Date: 01/19/2022
- Last Update Date: 08/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072054113
- Enrollment ID: I20240917002697
Medical Identifiers
Medical identifiers for Mwajuma Denise Teague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528710795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN270060 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | RN270060 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 11032445 (Florida) | 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. Mwajuma Denise Teague allows following entities to bill medicare on her behalf.
| Entity Name | Alw Enterprises, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548820798
PECOS PAC ID: 1850620493
Enrollment ID: O20190909000202 |
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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. Mwajuma Denise Teague 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 |
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Mwajuma Denise Teague,
1223 Bob Kirby Rd,
Knoxville, TN 37931-4802
Ph: (850) 374-1082 | Mwajuma Denise Teague,
1001 College Blvd W Ste B1,
Niceville, FL 32578-1049
Ph: (850) 252-4303 |
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