Elechi M Egeonuigwe, in Los Angeles, CA - Medicare Nurse Practitioner

Elechi M Egeonuigwe, is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. Her current practice location is 11900 Avalon Blvd Ste 100, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 920-4959.

Elechi M Egeonuigwe is licensed to practice in California (license number 95015756) 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 1952901969.

Contact Information

	Elechi M Egeonuigwe,
	11900 Avalon Blvd Ste 100, Los Angeles, CA 90061-2867
	(323) 920-4959
	(323) 920-4991

Map and Direction

Provider's Profile

Full Name	Elechi M Egeonuigwe
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11900 Avalon Blvd Ste 100, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952901969
Provider Enumeration Date: 10/28/2020
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 3678970605
Enrollment ID: I20210917001899

Medical Identifiers

Medical identifiers for Elechi M Egeonuigwe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952901969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95015756 (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. Elechi M Egeonuigwe allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Partners, A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927

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. Elechi M Egeonuigwe 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
Elechi M Egeonuigwe, 11900 Avalon Blvd Ste 100, Los Angeles, CA 90061-2867 Ph: (323) 920-4959	Elechi M Egeonuigwe, 11900 Avalon Blvd Ste 100, Los Angeles, CA 90061-2867 Ph: (323) 920-4959

Reviews and Comments

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Elechi M Egeonuigwe, - Medicare Nurse Practitioner in Los Angeles, CA