Calista E Ezeokoye, in Los Angeles, CA - Medicare Nurse Practitioner

Calista E Ezeokoye, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Angeles, California. Her current practice location is 2917 W Vernon Ave # B, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 426-5200.

Calista E Ezeokoye is licensed to practice in California (license number 95003322) 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 1003279118.

Contact Information

	Calista E Ezeokoye,
	2917 W Vernon Ave # B, Los Angeles, CA 90008-4714
	(323) 426-5200
	Not Available

Map and Direction

Provider's Profile

Full Name	Calista E Ezeokoye
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2917 W Vernon Ave # B, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003279118
Provider Enumeration Date: 04/05/2016
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1254697824
Enrollment ID: I20200402000429

Medical Identifiers

Medical identifiers for Calista E Ezeokoye such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003279118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	95003322 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95003322 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95003322 (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. Calista E Ezeokoye allows following entities to bill medicare on her behalf.

Entity Name	Central City Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235283094 PECOS PAC ID: 6608837331 Enrollment ID: O20041025001177

Entity Name	Akalaka Nursing Care Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801486261 PECOS PAC ID: 8527473537 Enrollment ID: O20210224000679

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. Calista E Ezeokoye 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
Calista E Ezeokoye, 1338 E Denwall Dr Ste 200, Carson, CA 90746-3156 Ph: (323) 426-5200	Calista E Ezeokoye, 2917 W Vernon Ave # B, Los Angeles, CA 90008-4714 Ph: (323) 426-5200

Reviews and Comments

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Calista E Ezeokoye, - Medicare Nurse Practitioner in Los Angeles, CA