Deedee Edomwande Chukuka, NURSE PRACTITIONER in Tustin, CA

Deedee Edomwande Chukuka, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tustin, California. Her current practice location is 17862 17th St Ste 107, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (714) 661-5407.

Deedee Edomwande Chukuka is licensed to practice in California (license number 95028233) 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 1154104982.

Contact Information

	Deedee Edomwande Chukuka, NURSE PRACTITIONER
	17862 17th St Ste 107, Tustin, CA 92780-2170
	(714) 661-5407
	Not Available

Map and Direction

Provider's Profile

Full Name	Deedee Edomwande Chukuka
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	17862 17th St Ste 107, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154104982
Provider Enumeration Date: 08/15/2023
Last Update Date: 03/20/2025

Medicare PECOS Information:

PECOS PAC ID: 4880110907
Enrollment ID: I20250501000162

Medical Identifiers

Medical identifiers for Deedee Edomwande Chukuka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154104982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95028233 (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. Deedee Edomwande Chukuka allows following entities to bill medicare on her behalf.

Entity Name	Peaceful Pathways Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912708884 PECOS PAC ID: 6709302821 Enrollment ID: O20250501000142

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. Deedee Edomwande Chukuka 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
Deedee Edomwande Chukuka, NURSE PRACTITIONER 17862 17th St Ste 107, Tustin, CA 92780-2170 Ph: (562) 222-9172	Deedee Edomwande Chukuka, NURSE PRACTITIONER 17862 17th St Ste 107, Tustin, CA 92780-2170 Ph: (714) 661-5407

Reviews and Comments

Nurse Practitioner Nurses in Tustin, CA

Mr. Michael Sean Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17601 17th St Ste 120, Tustin, CA 92780 Phone: 714-769-6090
Mrs. Nicole Ninofranco Alcantara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Avenue Suite 200, Tustin, CA 92780 Phone: 714-669-4466
Ning Sun, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2492 Walnut Ave Ste 100, Tustin, CA 92780 Phone: 714-709-8000 Fax: 714-709-8080
Nicole Rolle Noche, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890
Julia Samarin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17581 Irvine Blvd Ste 114, Tustin, CA 92780 Phone: 949-503-1414
Sandra Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave Ste 101, Tustin, CA 92780 Phone: 714-352-5800
Eileen Gomez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891

Deedee Edomwande Chukuka, NURSE PRACTITIONER - Medicare Nurse Practitioner in Tustin, CA