Ekenedilichukwu Ezenwaka, NP - Nurse Practitioner in Stockton, CA

Ekenedilichukwu Ezenwaka, NP is a Nurse Practitioner - Psychiatric/mental Health based in Stockton, California. Ekenedilichukwu Ezenwaka is licensed to practice in California (license number 95030565) and his current practice location is 7707 Austin Rd, Stockton, California. He can be reached at his office (for appointments etc.) via phone at (209) 467-8655.

NPI number for Ekenedilichukwu Ezenwaka is 1669215000 and his current mailing address is 6713 Sao Tiago Way, Elk Grove, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669215000.

Contact Information

Ekenedilichukwu Ezenwaka, NP
7707 Austin Rd,
Stockton, CA 95215-8312
(209) 467-8655
Not Available

Map and Direction




Provider's Profile

Full NameEkenedilichukwu Ezenwaka
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location7707 Austin Rd, Stockton, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669215000
  • Provider Enumeration Date: 06/14/2024
  • Last Update Date: 06/14/2024

Medical Identifiers

Medical identifiers for Ekenedilichukwu Ezenwaka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669215000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95030565 (California)Primary

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. Ekenedilichukwu Ezenwaka is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ekenedilichukwu Ezenwaka, NP
6713 Sao Tiago Way,
Elk Grove, CA 95757-3435

Ph: (323) 973-6970
Ekenedilichukwu Ezenwaka, NP
7707 Austin Rd,
Stockton, CA 95215-8312

Ph: (209) 467-8655

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.

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