Edoghogho Stacy Edosonmwan, RN in Lake Charles, LA

Edoghogho Stacy Edosonmwan, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lake Charles, Louisiana. Her current practice location is 2000 Opelousas St, Lake Charles, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 769-9451.

Edoghogho Stacy Edosonmwan is licensed to practice in Louisiana (license number 230297) 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 1356808901.

Contact Information

	Edoghogho Stacy Edosonmwan, RN
	2000 Opelousas St, Lake Charles, LA 70601-2641
	(337) 769-9451
	Not Available

Map and Direction

Provider's Profile

Full Name	Edoghogho Stacy Edosonmwan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2000 Opelousas St, Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356808901
Provider Enumeration Date: 03/01/2019
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7911449590
Enrollment ID: I20240611001982

Medical Identifiers

Medical identifiers for Edoghogho Stacy Edosonmwan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356808901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	951996 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	230297 (Louisiana)	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. Edoghogho Stacy Edosonmwan allows following entities to bill medicare on her behalf.

Entity Name	Swla Center For Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720014186 PECOS PAC ID: 9133029853 Enrollment ID: O20040109000902

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. Edoghogho Stacy Edosonmwan 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
Edoghogho Stacy Edosonmwan, RN 2000 Opelousas St, Lake Charles, LA 70601-2641 Ph: (337) 769-9451	Edoghogho Stacy Edosonmwan, RN 2000 Opelousas St, Lake Charles, LA 70601-2641 Ph: (337) 769-9451

Reviews and Comments

Nurse Practitioner Nurses in Lake Charles, LA

Ms. Victoria Lee Skold, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 W Mcneese, Lake Charles, LA 70605 Phone: 337-478-3177
Rebecca Ellen Godare Stein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-3813 Fax: 337-439-0214
Darci Portie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 Fax: 337-549-6316
Mrs. Ilea Nauts, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2770 3rd Ave Ste 120, Lake Charles, LA 70601 Phone: 337-494-4868 Fax: 337-494-4870
Mrs. Yvonne Eileen Alexander, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-3036
Megan Leblanc Thibodeaux, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Southwood Dr, Lake Charles, LA 70605 Phone: 337-562-2293 Fax: 337-562-0765
Mrs. Cynthia Trahan Cox, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 730 Tallow Rd, Lake Charles, LA 70607 Phone: 337-884-4498

Edoghogho Stacy Edosonmwan, RN - Medicare Nurse Practitioner in Lake Charles, LA