Etido J Udosen, PMHNP-BC, CNP, MSN - Medicare Nurse Practitioner in Frisco, TX

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Etido J Udosen, PMHNP-BC, CNP, MSN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Frisco, Texas. His current practice location is 6160 Warren Pkwy Ste 100, Frisco, Texas. You can reach out to his office (for appointments etc.) via phone at (197) 256-5397.

Etido J Udosen is licensed to practice in Texas (license number 1021337) 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 1083200208.

Contact Information

Etido J Udosen, PMHNP-BC, CNP, MSN
6160 Warren Pkwy Ste 100,
Frisco, TX 75034-9415
(197) 256-5397
Not Available

Map and Direction




Provider's Profile

Full NameEtido J Udosen
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6160 Warren Pkwy Ste 100, Frisco, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083200208
  • Provider Enumeration Date: 12/13/2020
  • Last Update Date: 02/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820497688
  • Enrollment ID: I20210527000329

Medical Identifiers

Medical identifiers for Etido J Udosen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083200208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1021337 (Texas)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. Etido J Udosen allows following entities to bill medicare on his behalf.
Entity NameHanifa Healthcare Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427629450
PECOS PAC ID: 4284037466
Enrollment ID: O20210726002133
Entity NameGreat Minds Psychiatry Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588360143
PECOS PAC ID: 6002280674
Enrollment ID: O20230322000293

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. Etido J Udosen 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 AddressPractice Location Address
Etido J Udosen, PMHNP-BC, CNP, MSN
6160 Warren Pkwy Ste 100,
Frisco, TX 75034-9415

Ph: (972) 565-3977		Etido J Udosen, PMHNP-BC, CNP, MSN
6160 Warren Pkwy Ste 100,
Frisco, TX 75034-9415

Ph: (197) 256-5397

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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