Enitan O Ekwotafia, ARNP in Orlando, FL - Medicare Nurse Practitioner

Enitan O Ekwotafia, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orlando, Florida. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Idc Of Volusia, Llc and her current practice location is 5804 Lake Underhill Rd, Suite C, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 384-1718.

Enitan O Ekwotafia is licensed to practice in Florida (license number APRN9199718) 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 1598904278.

Contact Information

	Enitan O Ekwotafia, ARNP
	5804 Lake Underhill Rd, Suite C, Orlando, FL 32807-4346
	(407) 384-1718
	(407) 384-1806

Map and Direction

Provider's Profile

Full Name	Enitan O Ekwotafia
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	5804 Lake Underhill Rd, Orlando, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Enitan O Ekwotafia graduated from nursing school in 2016

NPI Data:

NPI Number: 1598904278
Provider Enumeration Date: 02/19/2009
Last Update Date: 06/24/2022

Medicare PECOS Information:

PECOS PAC ID: 6800051665
Enrollment ID: I20120628000097

Medical Identifiers

Medical identifiers for Enitan O Ekwotafia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598904278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP9199718 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN9199718 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth New Smyrna Beach	New smyrna beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Idc Of Volusia, Llc	5597826255	3

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. Enitan O Ekwotafia allows following entities to bill medicare on her behalf.

Entity Name	Mcr Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213

Entity Name	Idc Of Volusia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154372241 PECOS PAC ID: 5597826255 Enrollment ID: O20090403000381

Entity Name	Premier Infectious Disease Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134472087 PECOS PAC ID: 4880824192 Enrollment ID: O20140306001802

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Enitan O Ekwotafia 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
Enitan O Ekwotafia, ARNP Po Box 940220, Maitland, FL 32794-0220 Ph: (407) 384-1718	Enitan O Ekwotafia, ARNP 5804 Lake Underhill Rd, Suite C, Orlando, FL 32807-4346 Ph: (407) 384-1718

Reviews and Comments

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Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 W Gore St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170
Ms. Dawn Michelle Fowler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-841-7550 Fax: 321-841-8185
Rachell Renee Davis, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 N Magnolia Ave, Orlando, FL 32803 Phone: 407-423-7149 Fax: 407-422-0470

Enitan O Ekwotafia, ARNP - Medicare Nurse Practitioner in Orlando, FL