Princess Omo Okieme, is a medicare enrolled "Social Worker - Clinical" provider in Rolling Hills Estates, California. Her current practice location is
609 Deep Valley Dr # 200-057, Rolling Hills Estates, California. You can reach out to her office (for appointments etc.) via phone at
(424) 279-3898.
Princess Omo Okieme is licensed to practice in California (license number LCSW112661) 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 1639643323.
Healthcare Provider's Profile
Full Name | Princess Omo Okieme |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 609 Deep Valley Dr # 200-057, Rolling Hills Estates, California |
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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: 1639643323
- Provider Enumeration Date: 01/15/2019
- Last Update Date: 04/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911372768
- Enrollment ID: I20230407001461
Medical Identifiers
Medical identifiers for Princess Omo Okieme such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639643323 | NPI | - | NPPES |
1639643323 | Other | CA | NPI |
LCSW112661 | Other | CA | BBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LCSW112661 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW112661 (California) | 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. Princess Omo Okieme allows following entities to bill medicare on her behalf.
Entity Name | Conscious Puzzles |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548969751 PECOS PAC ID: 7113371626 Enrollment ID: O20231002001468 |
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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. Princess Omo Okieme 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 |
Princess Omo Okieme, 3350 E 7th St # 338, Long Beach, CA 90804-5003 Ph: (424) 279-3898 | Princess Omo Okieme, 609 Deep Valley Dr # 200-057, Rolling Hills Estates, CA 90274-3629 Ph: (424) 279-3898 |
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