Ifeanyi Gabriel Ezeh, is a medicare enrolled "Counselor" provider in Lyford, Texas. His current practice location is
8413 Park Avenue, Lyford, Texas. You can reach out to his office (for appointments etc.) via phone at
(956) 437-1355.
Ifeanyi Gabriel Ezeh is licensed to practice in Texas (license number 75334) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871093260.
Healthcare Provider's Profile
Full Name | Ifeanyi Gabriel Ezeh |
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Gender | Male |
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Speciality | Counselor |
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Location | 8413 Park Avenue, Lyford, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871093260
- Provider Enumeration Date: 02/13/2018
- Last Update Date: 02/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 2668821208
- Enrollment ID: I20231208000290
Medical Identifiers
Medical identifiers for Ifeanyi Gabriel Ezeh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871093260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 75334 (Texas) | 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. Ifeanyi Gabriel Ezeh allows following entities to bill medicare on his behalf.
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210706003672 |
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Entity Name | Inner Clarity Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154886422 PECOS PAC ID: 8022442078 Enrollment ID: O20240506000363 |
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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. Ifeanyi Gabriel Ezeh 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 |
Ifeanyi Gabriel Ezeh, Po Box 460, Lyford, TX 78569-0460 Ph: (956) 437-1355 | Ifeanyi Gabriel Ezeh, 8413 Park Avenue, Lyford, TX 78569 Ph: (956) 437-1355 |
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