Avitus Maroba Itoe, in Fayetteville, NC - Medicare Nurse Practitioner

Avitus Maroba Itoe, is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, North Carolina. Her current practice location is 4155 Ferncreek Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 425-5999.

Avitus Maroba Itoe is licensed to practice in North Carolina (license number 5010863) 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 1669952495.

Contact Information

	Avitus Maroba Itoe,
	4155 Ferncreek Dr, Fayetteville, NC 28314-2581
	(910) 425-5999
	(910) 920-4313

Map and Direction

Provider's Profile

Full Name	Avitus Maroba Itoe
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4155 Ferncreek Dr, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669952495
Provider Enumeration Date: 08/21/2018
Last Update Date: 08/21/2018

Medicare PECOS Information:

PECOS PAC ID: 4688902034
Enrollment ID: I20190822001680

Medical Identifiers

Medical identifiers for Avitus Maroba Itoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669952495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5010863 (North Carolina)	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. Avitus Maroba Itoe allows following entities to bill medicare on her behalf.

Entity Name	Americare Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487667226 PECOS PAC ID: 6406768118 Enrollment ID: O20031103000103

Entity Name	Sugar Creek Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528071446 PECOS PAC ID: 4284658840 Enrollment ID: O20060123000108

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. Avitus Maroba Itoe 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
Avitus Maroba Itoe, 3632 Luton Ct, Charlotte, NC 28262-2648 Ph: (704) 974-1354	Avitus Maroba Itoe, 4155 Ferncreek Dr, Fayetteville, NC 28314-2581 Ph: (910) 425-5999

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, NC

Mrs. Sekeya Edreekia Durgan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 S Raeford Rd, Fayetteville, NC 28304 Phone: 910-475-6244
Heather Mcphail Maynor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304 Phone: 910-672-6432 Fax: 910-745-7907
Shelley Barry Follett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322
Cheryl Norris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100

Avitus Maroba Itoe, - Medicare Nurse Practitioner in Fayetteville, NC