Salome Mboh Basebang, | |
629 N Town East Blvd Apt 120, Mesquite, TX 75150-8342 | |
(214) 325-0716 | |
Not Available |
Full Name | Salome Mboh Basebang |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 629 N Town East Blvd Apt 120, Mesquite, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346738010 | NPI | - | NPPES |
24331856 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 825443 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP142942 (Texas) | Primary |
Entity Name | Molina Care Connections Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20170427000126 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
Mailing Address | Practice Location Address |
---|---|
Salome Mboh Basebang, 629 N Town East Blvd Apt 120, Mesquite, TX 75150-8342 Ph: (214) 325-0716 | Salome Mboh Basebang, 629 N Town East Blvd Apt 120, Mesquite, TX 75150-8342 Ph: (214) 325-0716 |
Mrs. Doris K Egyawan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 Yosemite Trl, Mesquite, TX 75149 Phone: 240-422-6374 | |
Mrs. Bincy Varughese, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1947 Cutler Dr, Mesquite, TX 75149 Phone: 214-606-5988 | |
Ajoke Alfred Iyamu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2417 Autumndale Dr, Mesquite, TX 75150 Phone: 469-422-2470 | |
Miss Andrea Roldan, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3230 I-30, Ste. 100, Mesquite, TX 75150 Phone: 972-682-1791 | |
Mr. Roselio Perez Garcia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2110 N Galloway Ave Ste 108, Mesquite, TX 75150 Phone: 972-634-4871 Fax: 972-584-9607 | |
Catherine N. Ebune, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3149 I-30, Suite A, Mesquite, TX 75150 Phone: 972-279-0781 Fax: 972-279-0785 | |
Ulda Veneziani, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Oates Dr Ste 138, Mesquite, TX 75150 Phone: 972-270-7600 Fax: 972-270-9968 |