Davidson Okechukwu Etoamaihe, NP in Modesto, CA

Davidson Okechukwu Etoamaihe, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Modesto, California. His current practice location is 2344 St Pauls Way, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (832) 904-2349.

Davidson Okechukwu Etoamaihe is licensed to practice in California (license number 95028981) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861258105.

Contact Information

	Davidson Okechukwu Etoamaihe, NP
	2344 St Pauls Way, Modesto, CA 95355-3390
	(832) 904-2349
	Not Available

Map and Direction

Provider's Profile

Full Name	Davidson Okechukwu Etoamaihe
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2344 St Pauls Way, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861258105
Provider Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 6709226947
Enrollment ID: I20240503003160

Medical Identifiers

Medical identifiers for Davidson Okechukwu Etoamaihe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861258105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95028981 (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. Davidson Okechukwu Etoamaihe allows following entities to bill medicare on his behalf.

Entity Name	California Care Wellness Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447874516 PECOS PAC ID: 2264856236 Enrollment ID: O20200723000732

Entity Name	Myndfull Care Management California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770206435 PECOS PAC ID: 4981070893 Enrollment ID: O20221018002310

Entity Name	Geri Connection
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447976907 PECOS PAC ID: 0446629059 Enrollment ID: O20221202001861

Entity Name	Myndfull Care California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912699703 PECOS PAC ID: 1557717238 Enrollment ID: O20231101001710

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. Davidson Okechukwu Etoamaihe 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
Davidson Okechukwu Etoamaihe, NP 2344 St Pauls Way, Modesto, CA 95355-3390 Ph: (832) 904-2349	Davidson Okechukwu Etoamaihe, NP 2344 St Pauls Way, Modesto, CA 95355-3390 Ph: (832) 904-2349

Reviews and Comments

Nurse Practitioner Nurses in Modesto, CA

Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566
Ms. Fantine Warda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Sukhjit Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 17th St, Modesto, CA 95354 Phone: 209-251-0200

Davidson Okechukwu Etoamaihe, NP - Medicare Nurse Practitioner in Modesto, CA