Dr Ifeatu B Enemmuo, PMHNP in Concord, CA - Medicare Nurse Practitioner

Dr Ifeatu B Enemmuo, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Concord, California. Her current practice location is 1333 Willow Pass Rd Ste 102, Concord, California. You can reach out to her office (for appointments etc.) via phone at (925) 825-1793.

Dr Ifeatu B Enemmuo is licensed to practice in California (license number 95011649) 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 1952969008.

Contact Information

	Dr Ifeatu B Enemmuo, PMHNP
	1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225
	(925) 825-1793
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Ifeatu B Enemmuo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1333 Willow Pass Rd Ste 102, Concord, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952969008
Provider Enumeration Date: 06/04/2019
Last Update Date: 08/07/2019

Medicare PECOS Information:

PECOS PAC ID: 9335476779
Enrollment ID: I20190808001015

Medical Identifiers

Medical identifiers for Dr Ifeatu B Enemmuo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952969008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95011649 (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. Dr Ifeatu B Enemmuo allows following entities to bill medicare on her behalf.

Entity Name	Portia Bell Hume Behavioral Health And Training Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760489439 PECOS PAC ID: 0547251688 Enrollment ID: O20040519000374

Entity Name	Telecare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167

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. Dr Ifeatu B Enemmuo 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
Dr Ifeatu B Enemmuo, PMHNP 4883 Snowy Egret Way, Oakley, CA 94561-1697 Ph: (925) 642-2039	Dr Ifeatu B Enemmuo, PMHNP 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 Ph: (925) 825-1793

Reviews and Comments

Nurse Practitioner Nurses in Concord, CA

Harpreet Kaur, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 Sierra Rd, Concord, CA 94518 Phone: 925-363-2000
Sonia B Gomez, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2740 Grant St, Concord, CA 94520 Phone: 925-674-4100 Fax: 925-674-4141
Kaite Go, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2185 Pacheco St, Concord, CA 94520 Phone: 925-676-0300
Jose Carlos Mancilla, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2540 East St, Concord, CA 94520 Phone: 925-947-3322 Fax: 925-947-3394
Whitney T Hoang, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2571 Park Ave, Concord, CA 94520 Phone: 925-674-2100
Ferris Powell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2485 High School Ave Ste 311, Concord, CA 94520 Phone: 925-687-7272
Mrs. Nishita Trewn Sharma, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2095 Diamond Blvd Ste B150, Concord, CA 94520 Phone: 800-972-5547

Dr Ifeatu B Enemmuo, PMHNP - Medicare Nurse Practitioner in Concord, CA