Genevieve Ifeanyichukwu, NP is a medicare enrolled "Nurse Practitioner - Family" in Woodlawn, Maryland. Her current practice location is
6340 Security Blvd Ste B56, Woodlawn, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 531-4264.
Genevieve Ifeanyichukwu is licensed to practice in Maryland (license number R218823) 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 1528750205.
Provider's Profile
Full Name | Genevieve Ifeanyichukwu |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 6340 Security Blvd Ste B56, Woodlawn, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528750205
- Provider Enumeration Date: 05/22/2023
- Last Update Date: 10/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911356571
- Enrollment ID: I20231208001001
Medical Identifiers
Medical identifiers for Genevieve Ifeanyichukwu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528750205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R218823 (Maryland) | 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. Genevieve Ifeanyichukwu allows following entities to bill medicare on her behalf.
Entity Name | Optimum Behavioral Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700575677 PECOS PAC ID: 4385005974 Enrollment ID: O20230728002509 |
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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. Genevieve Ifeanyichukwu 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 |
Genevieve Ifeanyichukwu, NP 6340 Security Blvd Ste B56, Woodlawn, MD 21207-5173 Ph: (443) 531-4264 | Genevieve Ifeanyichukwu, NP 6340 Security Blvd Ste B56, Woodlawn, MD 21207-5173 Ph: (443) 531-4264 |
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