Eli Foryang Mbeufonjoh, PMHNP in Phoenix, AZ - Medicare Nurse Practitioner

Eli Foryang Mbeufonjoh, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. His current practice location is 1201 S 7th Ave, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 416-7600.

Eli Foryang Mbeufonjoh is licensed to practice in Arizona (license number 256548) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407460983.

Contact Information

	Eli Foryang Mbeufonjoh, PMHNP
	1201 S 7th Ave, Phoenix, AZ 85007-3913
	(602) 416-7600
	Not Available

Map and Direction

Provider's Profile

Full Name	Eli Foryang Mbeufonjoh
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1201 S 7th Ave, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407460983
Provider Enumeration Date: 09/02/2020
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 8820476443
Enrollment ID: I20220609001413

Medical Identifiers

Medical identifiers for Eli Foryang Mbeufonjoh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407460983	NPI	-	NPPES
095691	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0807X	Registered Nurse - Psychiatric/mental Health, Child & Adolescent	R217419 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	256548 (Arizona)	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. Eli Foryang Mbeufonjoh allows following entities to bill medicare on his behalf.

Entity Name	Connectionsaz Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083840953 PECOS PAC ID: 3072858745 Enrollment ID: O20181227002230

Entity Name	K&e Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487303053 PECOS PAC ID: 9931587557 Enrollment ID: O20220609001261

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. Eli Foryang Mbeufonjoh 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
Eli Foryang Mbeufonjoh, PMHNP 965 S Wallrade Ln, Gilbert, AZ 85296-1494 Ph: (908) 477-3144	Eli Foryang Mbeufonjoh, PMHNP 1201 S 7th Ave, Phoenix, AZ 85007-3913 Ph: (602) 416-7600

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Eli Foryang Mbeufonjoh, PMHNP - Medicare Nurse Practitioner in Phoenix, AZ