Evah Wangungu, in Carrollton, GA - Medicare Nurse Practitioner

Evah Wangungu, is a medicare enrolled "Nurse Practitioner - Family" in Carrollton, Georgia. Her current practice location is 705 Dixie St, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 838-8824.

Evah Wangungu is licensed to practice in Georgia (license number RN206115) 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 1184176455.

Contact Information

	Evah Wangungu,
	705 Dixie St, Carrollton, GA 30117-3818
	(770) 838-8824
	Not Available

Provider's Profile

Full Name	Evah Wangungu
Gender	Female
Speciality	Nurse Practitioner - Family
Location	705 Dixie St, Carrollton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184176455
Provider Enumeration Date: 11/02/2016
Last Update Date: 01/10/2017

Medicare PECOS Information:

PECOS PAC ID: 4789968637
Enrollment ID: I20170221002687

Medical Identifiers

Medical identifiers for Evah Wangungu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184176455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN206115 (Georgia)	Primary

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. Evah Wangungu 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
Evah Wangungu, 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 838-8824	Evah Wangungu, 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 838-8824

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Nurse Practitioner Nurses in Carrollton, GA

Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922
Amy Hicks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Rome St, Carrollton, GA 30117 Phone: 404-301-4042
Kelly R Thompson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 Fax: 770-836-8922

Evah Wangungu, - Medicare Nurse Practitioner in Carrollton, GA