Nicole E Mubanga, MD - Medicare Family Practice in Milwaukee, WI

Nicole E Mubanga, MD is a medicare enrolled "Family Medicine" physician in Milwaukee, Wisconsin. She went to Medical College Of Wisconsin and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Aurora Advanced Healthcare Inc and her current practice location is 3003 W Good Hope Rd, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 352-3100.

Nicole E Mubanga is licensed to practice in Wisconsin (license number 63433) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1285976563.

Contact Information

Nicole E Mubanga, MD
3003 W Good Hope Rd,
Milwaukee, WI 53209
(414) 352-3100
Not Available



Physician's Profile

Full NameNicole E Mubanga
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location3003 W Good Hope Rd, Milwaukee, Wisconsin
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole E Mubanga attended and graduated from Medical College Of Wisconsin in 2013
  NPI Data:
  • NPI Number: 1285976563
  • Provider Enumeration Date: 03/25/2013
  • Last Update Date: 11/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527285030
  • Enrollment ID: I20161007000817

Medical Identifiers

Medical identifiers for Nicole E Mubanga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285976563NPI-NPPES
1285976563MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 63433-20 (Wisconsin)Secondary
207Q00000XFamily Medicine 63433 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Advanced Healthcare Inc3375625833929

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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. Nicole E Mubanga allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481

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Entity NameKenosha Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265435960
PECOS PAC ID: 0941195168
Enrollment ID: O20040217000840

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Entity NameOutreach Community Health Centers Inc
Entity TypePart A Provider - Federally Qualified Health Center (fqhc)
Entity IdentifiersNPI Number: 1932357126
PECOS PAC ID: 1355247735
Enrollment ID: O20040223000414

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Entity NameMilwaukee Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518005818
PECOS PAC ID: 7416946884
Enrollment ID: O20040511000114

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Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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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. Nicole E Mubanga 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 AddressPractice Location Address
Nicole E Mubanga, MD
3003 W Good Hope Rd,
Milwaukee, WI 53209-2042

Ph: (414) 352-3100
Nicole E Mubanga, MD
3003 W Good Hope Rd,
Milwaukee, WI 53209

Ph: (414) 352-3100

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Family Medicine Doctors in Milwaukee, WI

Dr. Mary Grace Hernandez Lasquety, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211
Phone: 414-319-3000    Fax: 414-319-3033
Dr. Rodrigo Itable, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2745 W Layton Ave, Suite 201, Milwaukee, WI 53221
Phone: 414-281-0050    Fax: 414-281-0733
Steven Bondow, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226
Phone: 414-955-5990    Fax: 414-955-6282
Dr. Sabina Diehr, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226
Phone: 414-955-5990    Fax: 414-955-6282
Luz Stella Moreno, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 637 W Mitchell St, Milwaukee, WI 53204
Phone: 414-383-8989    
Quentin Mattern, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2320 N Lake Dr, Room 3603, Milwaukee, WI 53211
Phone: 414-270-4932    
Jennifer Marie Markowski, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209
Phone: 414-352-3100    

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