Amaka Lauretta Anyaoha, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in El Segundo, California. Her current practice location is
2101 Rosecrans Ave # 3230, El Segundo, California. You can reach out to her office (for appointments etc.) via phone at
(323) 628-8671.
Amaka Lauretta Anyaoha is licensed to practice in California (license number 23402) 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 1043439813.
Healthcare Provider's Profile
| Full Name | Amaka Lauretta Anyaoha |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 2101 Rosecrans Ave # 3230, El Segundo, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043439813
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729205463
- Enrollment ID: I20140804001845
Medical Identifiers
Medical identifiers for Amaka Lauretta Anyaoha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043439813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | RN 606596 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23402 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 23402 (California) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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. Amaka Lauretta Anyaoha allows following entities to bill medicare on her behalf.
| Entity Name | Healthcare Partners Affiliates Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659312593
PECOS PAC ID: 7315842002
Enrollment ID: O20031204001258 |
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| Entity Name | Sal Psychiatry Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962028936
PECOS PAC ID: 9335565506
Enrollment ID: O20200818003587 |
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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. Amaka Lauretta Anyaoha 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 |
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Amaka Lauretta Anyaoha, NURSE PRACTITIONER
23425 Crenshaw Blvd #201,
Torrance, CA 90505
Ph: (310) 562-0166 | Amaka Lauretta Anyaoha, NURSE PRACTITIONER
2101 Rosecrans Ave # 3230,
El Segundo, CA 90245-4749
Ph: (323) 628-8671 |
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