Gbemisola Yemisi Chukwu, PMHNP in Queen Creek, AZ

Gbemisola Yemisi Chukwu, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Queen Creek, Arizona. Her current practice location is 21321 E Ocotillo Rd Ste 133, Queen Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 987-5525.

Gbemisola Yemisi Chukwu is licensed to practice in Arizona (license number 271478) 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 1750037909.

Contact Information

	Gbemisola Yemisi Chukwu, PMHNP
	21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142-5995
	(480) 987-5525
	(480) 987-5115

Map and Direction

Provider's Profile

Full Name	Gbemisola Yemisi Chukwu
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	21321 E Ocotillo Rd Ste 133, Queen Creek, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750037909
Provider Enumeration Date: 02/25/2022
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1355719949
Enrollment ID: I20221202000756

Medical Identifiers

Medical identifiers for Gbemisola Yemisi Chukwu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750037909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	271478 (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. Gbemisola Yemisi Chukwu allows following entities to bill medicare on her behalf.

Entity Name	Lifewell Behavioral Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417050337 PECOS PAC ID: 4981641818 Enrollment ID: O20050412001535

Entity Name	Prescott Healthcare Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821454505 PECOS PAC ID: 4385940295 Enrollment ID: O20160302001795

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. Gbemisola Yemisi Chukwu 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
Gbemisola Yemisi Chukwu, PMHNP 1355 N Scottsdale Rd Ste 240, Scottsdale, AZ 85257-3594 Ph: (480) 900-7256	Gbemisola Yemisi Chukwu, PMHNP 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142-5995 Ph: (480) 987-5525

Reviews and Comments

Nurse Practitioner Nurses in Queen Creek, AZ

Jena Patrice Boynton, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21321 E Ocotillo Rd, Suite 127, Queen Creek, AZ 85242 Phone: 480-888-7271 Fax: 480-888-7904
Tanya Nicole Turner, F.N.P-C. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20715 E Ocotillo Rd, Ste. 102, Queen Creek, AZ 85142 Phone: 480-987-0987 Fax: 480-987-0940
Daniella Rochelle Cleveland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37000 N Gantzel Rd, Queen Creek, AZ 85140 Phone: 480-394-4000
Jessica Garcia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142 Phone: 480-987-5525 Fax: 480-987-5115
Amber Lynee Allen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142 Phone: 480-792-9200
Yva Jean-marc, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142 Phone: 480-792-9200
Erica Monique Sipe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142 Phone: 480-987-5525 Fax: 480-987-5115

Gbemisola Yemisi Chukwu, PMHNP - Medicare Nurse Practitioner in Queen Creek, AZ