Ediomi Edet Enebong, NP - Medicare Nurse Practitioner in Wichita, KS

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Ediomi Edet Enebong, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Wichita, Kansas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Western Mental Health Center, Inc. and her current practice location is 4925 S Broadway Ave # 1077, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (507) 353-2419.

Ediomi Edet Enebong is licensed to practice in Minnesota (license number 8117) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356996326.

Contact Information

Ediomi Edet Enebong, NP
4925 S Broadway Ave # 1077,
Wichita, KS 67216-3716
(507) 353-2419
(507) 607-8967

Map and Direction




Provider's Profile

Full NameEdiomi Edet Enebong
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location4925 S Broadway Ave # 1077, Wichita, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ediomi Edet Enebong graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1356996326
  • Provider Enumeration Date: 08/07/2019
  • Last Update Date: 10/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496086001
  • Enrollment ID: I20211209002599

Medical Identifiers

Medical identifiers for Ediomi Edet Enebong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356996326NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP142164 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 82079 (Kansas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 8117 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ellsworth County Medical CenterEllsworth, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Western Mental Health Center, Inc.731585611918

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. Ediomi Edet Enebong allows following entities to bill medicare on her behalf.
Entity NameWestern Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982613311
PECOS PAC ID: 7315856119
Enrollment ID: O20040226000053
Entity NameSioux Trails Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902909914
PECOS PAC ID: 2163313370
Enrollment ID: O20040324001134
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20230310000874
Entity NamePleasant Place Psychiatry Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558042218
PECOS PAC ID: 3971964073
Enrollment ID: O20230807000356

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. Ediomi Edet Enebong 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
Ediomi Edet Enebong, NP
4925 S Broadway Ave # 1077,
Wichita, KS 67216-3716

Ph: (507) 353-2419		Ediomi Edet Enebong, NP
4925 S Broadway Ave # 1077,
Wichita, KS 67216-3716

Ph: (507) 353-2419

Reviews and Comments


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Ms. Shirley Rae Parish, RN, FNP-BC
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Dawn M Schake, ARNP
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Phone: 316-265-1308    Fax: 316-265-4480

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.