Iheanyi Nnamdi Amanwanne, NP PSYCH - Medicare Clinical Nurse Specialist in Phoenix, AZ

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Iheanyi Nnamdi Amanwanne, NP PSYCH is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Phoenix, Arizona. His current practice location is 2500 E Van Buren St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 685-3100.

Iheanyi Nnamdi Amanwanne is licensed to practice in Arizona (license number 282935) 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 1639883028.

Contact Information

Iheanyi Nnamdi Amanwanne, NP PSYCH
2500 E Van Buren St,
Phoenix, AZ 85008-6037
(602) 685-3100
Not Available

Map and Direction




Provider's Profile

Full NameIheanyi Nnamdi Amanwanne
GenderMale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health
Location2500 E Van Buren St, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639883028
  • Provider Enumeration Date: 01/10/2023
  • Last Update Date: 01/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799137956
  • Enrollment ID: I20240123004770

Medical Identifiers

Medical identifiers for Iheanyi Nnamdi Amanwanne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639883028NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 282935 (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. Iheanyi Nnamdi Amanwanne allows following entities to bill medicare on his behalf.
Entity NameDivine Wellness Psychiatric Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245007210
PECOS PAC ID: 8123461464
Enrollment ID: O20240203000152

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. Iheanyi Nnamdi Amanwanne 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
Iheanyi Nnamdi Amanwanne, NP PSYCH
3880 W Ranier Ct,
Anthem, AZ 85086-8018

Ph: (602) 465-6011		Iheanyi Nnamdi Amanwanne, NP PSYCH
2500 E Van Buren St,
Phoenix, AZ 85008-6037

Ph: (602) 685-3100

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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