Imma Nzomo, PMHNP in Mesa, AZ - Medicare Nurse Practitioner

Imma Nzomo, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. Her current practice location is 1855 W Baseline Rd Ste 101, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 831-7566.

Imma Nzomo is licensed to practice in Arizona (license number AP11526) 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 1629559976.

Contact Information

	Imma Nzomo, PMHNP
	1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098
	(480) 831-7566
	Not Available

Map and Direction

Provider's Profile

Full Name	Imma Nzomo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1855 W Baseline Rd Ste 101, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629559976
Provider Enumeration Date: 08/24/2018
Last Update Date: 08/24/2018

Medicare PECOS Information:

PECOS PAC ID: 4082950449
Enrollment ID: I20190107002718

Medical Identifiers

Medical identifiers for Imma Nzomo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629559976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP11526 (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. Imma Nzomo allows following entities to bill medicare on her behalf.

Entity Name	Foothills Psychiatric Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750901088 PECOS PAC ID: 6901236512 Enrollment ID: O20200729003416

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. Imma Nzomo 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
Imma Nzomo, PMHNP 3546 E Windmere Dr, Phoenix, AZ 85048-7211 Ph: (520) 304-7188	Imma Nzomo, PMHNP 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 Ph: (480) 831-7566

Reviews and Comments

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Imma Nzomo, PMHNP - Medicare Nurse Practitioner in Mesa, AZ