Ebote Ngite Nnoko, - Medicare Nurse Practitioner in Dallas, GA

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Ebote Ngite Nnoko, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dallas, Georgia. Her current practice location is 108 Crescent Woode Dr, Dallas, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 702-5945.

Ebote Ngite Nnoko is licensed to practice in Georgia (license number RN243114) 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 1346871696.

Contact Information

Ebote Ngite Nnoko,
108 Crescent Woode Dr,
Dallas, GA 30157-5725
(770) 702-5945
Not Available

Map and Direction




Provider's Profile

Full NameEbote Ngite Nnoko
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location108 Crescent Woode Dr, Dallas, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346871696
  • Provider Enumeration Date: 01/27/2020
  • Last Update Date: 01/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0547699662
  • Enrollment ID: I20200410000197

Medical Identifiers

Medical identifiers for Ebote Ngite Nnoko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346871696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN243114 (Georgia)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. Ebote Ngite Nnoko allows following entities to bill medicare on her behalf.
Entity NameMobolaji Shalom Oyebanjo, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922280684
PECOS PAC ID: 6204914401
Enrollment ID: O20080428000562
Entity NameLifesource Of North Carolina
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962940817
PECOS PAC ID: 7416132428
Enrollment ID: O20170418000863
Entity NameEsfahani Enterprises Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457901340
PECOS PAC ID: 4385057512
Enrollment ID: O20210108000007

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. Ebote Ngite Nnoko 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
Ebote Ngite Nnoko,
108 Crescent Woode Dr,
Dallas, GA 30157-5725

Ph: (770) 702-5945		Ebote Ngite Nnoko,
108 Crescent Woode Dr,
Dallas, GA 30157-5725

Ph: (770) 702-5945

Reviews and Comments


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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).

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