Christiana Upe Omodugba-udeh, PMHNP-BC in Mansfield, TX

Christiana Upe Omodugba-udeh, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mansfield, Texas. Her current practice location is 1508 Monte Carlo Dr, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 226-3119.

Christiana Upe Omodugba-udeh is licensed to practice in Texas (license number 2022026825) 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 1396456174.

Contact Information

	Christiana Upe Omodugba-udeh, PMHNP-BC
	1508 Monte Carlo Dr, Mansfield, TX 76063-6221
	(469) 226-3119
	Not Available

Map and Direction

Provider's Profile

Full Name	Christiana Upe Omodugba-udeh
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1508 Monte Carlo Dr, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396456174
Provider Enumeration Date: 12/12/2022
Last Update Date: 12/14/2022

Medicare PECOS Information:

PECOS PAC ID: 0446695092
Enrollment ID: I20240305002408

Medical Identifiers

Medical identifiers for Christiana Upe Omodugba-udeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396456174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2022026825 (Texas)	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. Christiana Upe Omodugba-udeh allows following entities to bill medicare on her behalf.

Entity Name	Upnext Psychiatric Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891567269 PECOS PAC ID: 7719322361 Enrollment ID: O20240305002358

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. Christiana Upe Omodugba-udeh 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
Christiana Upe Omodugba-udeh, PMHNP-BC 1508 Monte Carlo Dr, Mansfield, TX 76063-6221 Ph: (469) 226-3119	Christiana Upe Omodugba-udeh, PMHNP-BC 1508 Monte Carlo Dr, Mansfield, TX 76063-6221 Ph: (469) 226-3119

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, TX

Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292
Mrs. Renee Rachelle Baril, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 N Miller Rd Ste 300, Mansfield, TX 76063 Phone: 682-341-7510 Fax: 682-341-7511
Mrs. Saaghe Mmbi Fogwe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Heritage Pkwy Ste 225, Mansfield, TX 76063 Phone: 817-453-7522 Fax: 866-665-6659
Oluwatosin B Ajibola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Captains Ct, Mansfield, TX 76063 Phone: 817-239-2205
Mrs. Tanita Breyannen Denae Butler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-0267

Christiana Upe Omodugba-udeh, PMHNP-BC - Medicare Nurse Practitioner in Mansfield, TX