Nnene Nchack Egbe-tambe, in Fort Worth, TX - Medicare Nurse Practitioner

Nnene Nchack Egbe-tambe, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Worth, Texas. Her current practice location is 5560 Mesa Springs Dr, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 477-3534.

Nnene Nchack Egbe-tambe is licensed to practice in Texas (license number 1030646) 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 1417541194.

Contact Information

	Nnene Nchack Egbe-tambe,
	5560 Mesa Springs Dr, Fort Worth, TX 76123-2120
	(682) 477-3534
	(682) 477-3602

Map and Direction

Provider's Profile

Full Name	Nnene Nchack Egbe-tambe
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5560 Mesa Springs Dr, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417541194
Provider Enumeration Date: 02/23/2021
Last Update Date: 03/04/2023

Medicare PECOS Information:

PECOS PAC ID: 6901298728
Enrollment ID: I20220127001858

Medical Identifiers

Medical identifiers for Nnene Nchack Egbe-tambe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417541194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1030646 (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. Nnene Nchack Egbe-tambe allows following entities to bill medicare on her behalf.

Entity Name	Stewart Keller Do Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225080856 PECOS PAC ID: 7113931866 Enrollment ID: O20060201000687

Entity Name	Sai Vittala Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497134332 PECOS PAC ID: 3678887791 Enrollment ID: O20150804003213

Entity Name	Leanonme Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043776834 PECOS PAC ID: 9931440187 Enrollment ID: O20190416001910

Entity Name	A-v Support Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699382663 PECOS PAC ID: 8123439114 Enrollment ID: O20201123003419

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. Nnene Nchack Egbe-tambe 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
Nnene Nchack Egbe-tambe, 2656 S Loop W Ste 103, Houston, TX 77054-5632 Ph: (512) 659-2728	Nnene Nchack Egbe-tambe, 5560 Mesa Springs Dr, Fort Worth, TX 76123-2120 Ph: (682) 477-3534

Reviews and Comments

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Nnene Nchack Egbe-tambe, - Medicare Nurse Practitioner in Fort Worth, TX