Mr Raphael Mprah, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chelan, Washington. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mindful Therapy Group Pc, Vest Seattle Llc and his current practice location is
105 S Apple Blossom Dr, Chelan, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 682-6000.
Mr Raphael Mprah is licensed to practice in Washington (license number AP61209744) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013206838.
Provider's Profile
| Full Name | Mr Raphael Mprah |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 105 S Apple Blossom Dr, Chelan, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Raphael Mprah graduated from nursing school in 2021
NPI Data:
- NPI Number: 1013206838
- Provider Enumeration Date: 04/01/2011
- Last Update Date: 07/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062804818
- Enrollment ID: I20230124003145
Medical Identifiers
Medical identifiers for Mr Raphael Mprah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013206838 | NPI | - | NPPES |
| 101320683 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 642532 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1050546 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 65235 (New Mexico) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61209744 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mindful Therapy Group Pc | 4981872561 | 252 |
| Vest Seattle Llc | 7416233549 | 15 |
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. Mr Raphael Mprah allows following entities to bill medicare on his behalf.
| Entity Name | Mindful Therapy Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316238678
PECOS PAC ID: 4981872561
Enrollment ID: O20110726000730 |
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| Entity Name | Vest Seattle Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104338144
PECOS PAC ID: 7416233549
Enrollment ID: O20170606001548 |
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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. Mr Raphael Mprah 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 |
|---|
Mr Raphael Mprah, PMHNP-BC
600 Orondo Ave Ste 1,
Wenatchee, WA 98801-2800
Ph: (509) 662-6000 | Mr Raphael Mprah, PMHNP-BC
105 S Apple Blossom Dr,
Chelan, WA 98816-8810
Ph: (509) 682-6000 |
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