Eyefujirin Endurance Ukponmwan, NURSE PRACTITIONER in Durham, NC

Eyefujirin Endurance Ukponmwan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Durham, North Carolina. Her current practice location is 2645 Meridian Pkwy Ste 323, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 227-8902.

Eyefujirin Endurance Ukponmwan is licensed to practice in North Carolina (license number 5014299) 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 1861080111.

Contact Information

	Eyefujirin Endurance Ukponmwan, NURSE PRACTITIONER
	2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232
	(984) 227-8902
	Not Available

Map and Direction

Provider's Profile

Full Name	Eyefujirin Endurance Ukponmwan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2645 Meridian Pkwy Ste 323, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861080111
Provider Enumeration Date: 01/04/2021
Last Update Date: 03/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1951703610
Enrollment ID: I20210716002748

Medical Identifiers

Medical identifiers for Eyefujirin Endurance Ukponmwan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861080111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	272678 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5014299 (North Carolina)	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. Eyefujirin Endurance Ukponmwan allows following entities to bill medicare on her behalf.

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210429000604

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. Eyefujirin Endurance Ukponmwan 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
Eyefujirin Endurance Ukponmwan, NURSE PRACTITIONER 6840 Glenwood Ave, Raleigh, NC 27612-7133 Ph: (919) 781-8604	Eyefujirin Endurance Ukponmwan, NURSE PRACTITIONER 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 Ph: (984) 227-8902

Reviews and Comments

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Eyefujirin Endurance Ukponmwan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Durham, NC