Mwajuma Denise Teague, is a
Family Medicine based in Niceville, Florida. Mwajuma Denise Teague is licensed to practice in Florida (license number 11032445) and her current practice location is
1001 College Blvd W Ste B1, Niceville, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 252-4303.
NPI number for Mwajuma Denise Teague is 1528710795 and her current mailing address is 1223 Bob Kirby Rd, Knoxville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528710795
- Provider Enumeration Date: 01/19/2022
- Last Update Date: 08/02/2024
Medical Identifiers
Medical identifiers for Mwajuma Denise Teague such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528710795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN270060 (Georgia) | Secondary |
207Q00000X | Family Medicine | RN270060 (Georgia) | Secondary |
207Q00000X | Family Medicine | 11032445 (Florida) | Primary |
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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
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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