Salome Mboh Basebang, in Mesquite, TX - Medicare Nurse Practitioner

Salome Mboh Basebang, is a medicare enrolled "Nurse Practitioner - Family" in Mesquite, Texas. Her current practice location is 629 N Town East Blvd Apt 120, Mesquite, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 325-0716.

Salome Mboh Basebang is licensed to practice in Texas (license number AP142942) 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 1346738010.

Contact Information

	Salome Mboh Basebang,
	629 N Town East Blvd Apt 120, Mesquite, TX 75150-8342
	(214) 325-0716
	Not Available

Map and Direction

Provider's Profile

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.

NPI Data:

NPI Number: 1346738010
Provider Enumeration Date: 04/27/2018
Last Update Date: 04/13/2020

Medicare PECOS Information:

PECOS PAC ID: 7517384738
Enrollment ID: I20200902000102

Medical Identifiers

Medical identifiers for Salome Mboh Basebang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346738010	NPI	-	NPPES
24331856	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	825443 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP142942 (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. Salome Mboh Basebang allows following entities to bill medicare on her behalf.

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

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. Salome Mboh Basebang 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
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

Reviews and Comments

Nurse Practitioner Nurses in Mesquite, TX

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

Salome Mboh Basebang, - Medicare Nurse Practitioner in Mesquite, TX