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Mercy Chima Nwogu

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2015 Grand Concourse, Bronx, NY 10453

PECOS Enrollment

This provider is enrolled in PECOS as MERCY NWOGU.

Based on the most recent information from CMS, provider Mercy Chima Nwogu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1790243681
Provider Type
Individual
Full Name
Nwogu, Mercy Chima
Gender
Female

Sole Proprietor
Yes
Enumeration Date
3/9/2019
Last Updated
5/10/2019

Contact Information

Practice Location

2015 Grand Concourse, Bronx, NY 10453

(718) 299-7295

Unlisted Fax

Mailing Location

3198 Grand Concourse, Bronx, NY 10458-1000

(718) 618-0401

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F341268 New York

Mercy Chima Nwogu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Chambers, Tamesha

Lee, Younju Angela

Boutos, Ekaterini

Chris-Emenike, Chinwe Chidinma

Gripp, Lauren

Brown, Alicia

Sanchez, Franchesca Teresa

Kang, Miyoung

Oh, Soon Jee