| Accessible Psychiatry Pllc | |
|
1640 Breezy Bay Ct Wylie TX 75098-0815 | |
| (763) 222-5419 | |
| Not Available |
| Full Name | Accessible Psychiatry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1640 Breezy Bay Ct, Wylie, Texas |
| Authorized Official Name and Position | Ebere Ejike-ilechukwu (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9729827505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accessible Psychiatry Pllc 1640 Breezy Bay Ct Wylie TX 75098-0815 Ph: (763) 222-5419 | Accessible Psychiatry Pllc 1640 Breezy Bay Ct Wylie TX 75098-0815 Ph: (763) 222-5419 |
| NPI Number | 1558145573 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Medicare PECOS PAC ID | 9133665151 |
|---|---|
| Medicare Enrollment ID | O20240725002338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558145573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ebere Ejike-ilechukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295333268 PECOS PAC ID: 0941613244 Enrollment ID: I20210105003260 |
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