Charlie Imonah, FNP in Pawtucket, RI - Medicare Nurse Practitioner

Charlie Imonah, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pawtucket, Rhode Island. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Blackstone Valley Community Health Care Inc and his current practice location is 39 East Ave, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 722-0081.

Charlie Imonah is licensed to practice in Rhode Island (license number NPP37898) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659770642.

Contact Information

	Charlie Imonah, FNP
	39 East Ave, Pawtucket, RI 02860-4003
	(401) 722-0081
	(401) 312-0318

Map and Direction

Provider's Profile

Full Name	Charlie Imonah
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	39 East Ave, Pawtucket, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlie Imonah graduated from nursing school in 2014

NPI Data:

NPI Number: 1659770642
Provider Enumeration Date: 08/15/2014
Last Update Date: 12/06/2014

Medicare PECOS Information:

PECOS PAC ID: 3577884683
Enrollment ID: I20150602000145

Medical Identifiers

Medical identifiers for Charlie Imonah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659770642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NPP37898 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Miriam Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blackstone Valley Community Health Care Inc	8628045762	23

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. Charlie Imonah allows following entities to bill medicare on his behalf.

Entity Name	Blackstone Valley Community Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063574135 PECOS PAC ID: 8628045762 Enrollment ID: O20040916000775

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. Charlie Imonah 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
Charlie Imonah, FNP 39 East Ave, Pawtucket, RI 02860-4003 Ph: () -	Charlie Imonah, FNP 39 East Ave, Pawtucket, RI 02860-4003 Ph: (401) 722-0081

Reviews and Comments

Nurse Practitioner Nurses in Pawtucket, RI

Daijsia Melena Bubb, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 East Ave, Pawtucket, RI 02860 Phone: 401-729-0080
Stacey Almeida, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 East Ave, Pawtucket, RI 02860 Phone: 401-725-6160 Fax: 401-722-5430
Mrs. Brandi Parker Cotton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Beechwood Ave, Pawtucket, RI 02860 Phone: 401-722-5573 Fax: 401-726-5571
Mrs. Carol A Garcia-benoit, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 727 East Ave, Suite 100, Pawtucket, RI 02860 Phone: 401-725-6160 Fax: 401-722-5430
Mellissa Gosset, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 School St # 112, Pawtucket, RI 02860 Phone: 401-726-9790
Alicia Marie Barcelo, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 67 Bucklin St, Pawtucket, RI 02861 Phone: 978-473-6667
Philomene Fortes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 East Ave, Pawtucket, RI 02860 Phone: 401-722-0081 Fax: 401-312-0318

Charlie Imonah, FNP - Medicare Nurse Practitioner in Pawtucket, RI