MERCIFUL EKONGMADEM EYONGEGBE PA-C
NPI 1629756986
Physician Assistant in Fort Worth, TX

Q: What is Merciful Eyongegbe's NPI number?

The NPI number for Merciful Eyongegbe is 1629756986. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Q: What is Merciful Eyongegbe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since July 07, 2023PECOS Enrolled

851 W TERRELL AVE, FORT WORTH, TX 76104(817) 756-7385(817) 332-1723 Get Directions Write a Review

NPPES record last updated: July 15, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 15, 2023, Jul 7, 2023 (2 updates tracked since 2023).

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About Merciful Ekongmadem Eyongegbe Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCIFUL EKONGMADEM EYONGEGBE PA-C (NPI 1629756986) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA16986) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629756986

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMERCIFUL EKONGMADEM EYONGEGBECredential: PA-C

Location Address851 W TERRELL AVEFort Worth, TX 76104-3161

Mailing AddressPo Box 33434Fort Worth, TX 76162-3434 · (817) 332-8346 · Fax (817) 332-1723

Phone(817) 756-7385

Fax(817) 332-1723

Sole ProprietorYes

Enumeration DateJuly 7, 2023

Last NPPES UpdateJuly 15, 20232 updates tracked since enumeration

NPPES CertifiedJuly 15, 2023

✔ NPI 1629756986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA16986

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

851 W TERRELL AVE, Fort Worth, TX 76104

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Merciful Ekongmadem Eyongegbe Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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