Chidiebere Iheanacho, in North Salt Lake, UT - Medicare Nurse Practitioner

Chidiebere Iheanacho, is a medicare enrolled "Nurse Practitioner - Acute Care" in North Salt Lake, Utah. Her current practice location is 175 Odell Ln, North Salt Lake, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 867-0632.

Chidiebere Iheanacho is licensed to practice in Utah (license number 8326025-4405) 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 1598549370.

Contact Information

	Chidiebere Iheanacho,
	175 Odell Ln, North Salt Lake, UT 84054-4100
	(801) 867-0632
	Not Available

Map and Direction

Provider's Profile

Full Name	Chidiebere Iheanacho
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	175 Odell Ln, North Salt Lake, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598549370
Provider Enumeration Date: 08/22/2023
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0345685970
Enrollment ID: I20240305001640

Medical Identifiers

Medical identifiers for Chidiebere Iheanacho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598549370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	8326025-4405 (Utah)	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. Chidiebere Iheanacho allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Chidiebere Iheanacho 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
Chidiebere Iheanacho, 175 Odell Ln, North Salt Lake, UT 84054-4100 Ph: (801) 867-0632	Chidiebere Iheanacho, 175 Odell Ln, North Salt Lake, UT 84054-4100 Ph: (801) 867-0632

Reviews and Comments

Nurse Practitioner Nurses in North Salt Lake, UT

Davin Narita Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Eugene St, North Salt Lake, UT 84054 Phone: 801-831-3329
Kristina K Bennett, DNP, FNP-BC, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Ridge Top Cir, North Salt Lake, UT 84054 Phone: 180-181-5102
Lee Kilpack, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 673 Parkway Dr, North Salt Lake, UT 84054 Phone: 435-730-0648
Patricia Mae Garcia, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 863 Wilstead Dr, North Salt Lake, UT 84054 Phone: 307-421-1638
Katherine Jenkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 667 Canterbury Ln, North Salt Lake, UT 84054 Phone: 801-550-7465

Chidiebere Iheanacho, - Medicare Nurse Practitioner in North Salt Lake, UT