Gertrude Mumba-kaunda, - Medicare Nurse Practitioner in South Bend, IN

Gertrude Mumba-kaunda, is a medicare enrolled "Nurse Practitioner - Family" in South Bend, Indiana. Her current practice location is 1901 W Western Ave, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 234-9033.

Gertrude Mumba-kaunda is licensed to practice in Michigan (license number 4704248992) 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 1093146631.

Contact Information

Gertrude Mumba-kaunda,
1901 W Western Ave,
South Bend, IN 46619-3569
(574) 234-9033
(844) 397-1310



Provider's Profile

Full NameGertrude Mumba-kaunda
GenderFemale
SpecialityNurse Practitioner - Family
Location1901 W Western Ave, South Bend, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093146631
  • Provider Enumeration Date: 12/09/2013
  • Last Update Date: 12/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981835626
  • Enrollment ID: I20150415002017

Medical Identifiers

Medical identifiers for Gertrude Mumba-kaunda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093146631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 71005367A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 4704248992 (Michigan)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. Gertrude Mumba-kaunda allows following entities to bill medicare on her behalf.
Entity NameIndiana Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598776742
PECOS PAC ID: 3971599473
Enrollment ID: O20040430001159

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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. Gertrude Mumba-kaunda 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
Gertrude Mumba-kaunda,
8003 Castleway Dr,
Indianapolis, IN 46250-1946

Ph: (317) 576-1335
Gertrude Mumba-kaunda,
1901 W Western Ave,
South Bend, IN 46619-3569

Ph: (574) 234-9033

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Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601
Phone: 574-647-8470    Fax: 574-647-8475
Rachel Ann Jennings, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Kelly Mae Losiniecki, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St., South Bend, IN 46617
Phone: 574-237-9231    Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 53760 Generations Dr, South Bend, IN 46635
Phone: 888-938-3838    Fax: 888-919-1083
Gina M. Connolly, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601
Phone: 574-647-8800    Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635
Phone: 574-234-2191    
Kendall Hochstedler,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1960 Northside Blvd, South Bend, IN 46615
Phone: 574-307-7673    Fax: 574-234-4706

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