DONGMO GEORGETTE TEKOBO
NPI 1821753906
Nurse Practitioner - Psychiatric/Mental Health in Bolivar, TN

Q: What is Dongmo Georgette Tekobo's NPI number?

The NPI number for Dongmo Georgette Tekobo is 1821753906. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Q: What is Dongmo Georgette Tekobo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 03, 2021PECOS EnrolledAccepts Medicare Assignment

10710 OLD HIGHWAY 64, BOLIVAR, TN 38008(731) 203-1011(731) 658-1597 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2023, Oct 5, 2023, Nov 3, 2021 (3 updates tracked since 2021).

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About Dongmo Georgette Tekobo NPPES

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

DONGMO GEORGETTE TEKOBO (NPI 1821753906) is an individual psychiatric/mental health provider in Bolivar, Tennessee, licensed in Tennessee (APN0000030296) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821753906

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDONGMO GEORGETTE TEKOBO

Location Address10710 OLD HIGHWAY 64Bolivar, TN 38008-3587

Mailing Address3220 N Avenel CvMemphis, TN 38125-0766 · (901) 283-8280

Phone(731) 203-1011

Fax(731) 658-1597

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 3, 2021

Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1821753906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TN · APN0000030296

10710 OLD HIGHWAY 64, Bolivar, TN 38008

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dongmo Georgette Tekobo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537538764

PECOS Enrollment IDI20221212000444

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38008 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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 20

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

TYNETTA QUNIQUE BEAMON-SIMPSON APRN

Nurse Practitioner (Psychiatric/Mental Health)