Ebele Oyibo Mbeledogu, DNP,FNP-BC, PMHNP-BC - Medicare Nurse Practitioner in Modesto, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Modesto
Ebele Oyibo Mbeledogu, DNP,FNP-BC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Modesto, California. Her current practice location is 121 Downey Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 341-1824.

Ebele Oyibo Mbeledogu is licensed to practice in California (license number 95024378) 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 1689071169.

Contact Information

Ebele Oyibo Mbeledogu, DNP,FNP-BC, PMHNP-BC
121 Downey Ave,
Modesto, CA 95354-1208
(209) 341-1824
Not Available

Map and Direction




Provider's Profile

Full NameEbele Oyibo Mbeledogu
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location121 Downey Ave, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689071169
  • Provider Enumeration Date: 11/26/2014
  • Last Update Date: 02/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597054585
  • Enrollment ID: I20160513001837

Medical Identifiers

Medical identifiers for Ebele Oyibo Mbeledogu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689071169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 95001325 (California)Secondary
363LF0000XNurse Practitioner - Family 95001325 (California)Secondary
363LP2300XNurse Practitioner - Primary Care 95001325 (California)Secondary
363LW0102XNurse Practitioner - Women's Health 95001325 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95024378 (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. Ebele Oyibo Mbeledogu allows following entities to bill medicare on her behalf.
Entity NameCounty Of Alameda
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780716381
PECOS PAC ID: 9739070624
Enrollment ID: O20040323001169
Entity NameTelecare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720164882
PECOS PAC ID: 6901820380
Enrollment ID: O20070614000167
Entity NameStars, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205992096
PECOS PAC ID: 0547449621
Enrollment ID: O20110120001103

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. Ebele Oyibo Mbeledogu 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 AddressPractice Location Address
Ebele Oyibo Mbeledogu, DNP,FNP-BC, PMHNP-BC
2501 Mchenry Ave, Ste F,
Modesto, CA 95350-3257

Ph: (812) 205-6598		Ebele Oyibo Mbeledogu, DNP,FNP-BC, PMHNP-BC
121 Downey Ave,
Modesto, CA 95354-1208

Ph: (209) 341-1824

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.