Dr Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC in Marina Del Rey, CA

Dr Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marina Del Rey, California. His current practice location is 13400 Washington Blvd Ste 105, Marina Del Rey, California. You can reach out to his office (for appointments etc.) via phone at (310) 200-8957.

Dr Izunna Vincent Ewudo is licensed to practice in California (license number 95004185) 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 1255786646.

Contact Information

	Dr Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC
	13400 Washington Blvd Ste 105, Marina Del Rey, CA 90292-5632
	(310) 200-8957
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Izunna Vincent Ewudo
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13400 Washington Blvd Ste 105, Marina Del Rey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255786646
Provider Enumeration Date: 05/04/2016
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2365725215
Enrollment ID: I20170220001487

Medical Identifiers

Medical identifiers for Dr Izunna Vincent Ewudo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255786646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95004185 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95004185 (California)	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. Dr Izunna Vincent Ewudo allows following entities to bill medicare on his behalf.

Entity Name	St Johns Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

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. Dr Izunna Vincent Ewudo 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
Dr Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC 13400 Washington Blvd Ste 105, Marina Del Rey, CA 90292-5632 Ph: (310) 200-8957	Dr Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC 13400 Washington Blvd Ste 105, Marina Del Rey, CA 90292-5632 Ph: (310) 200-8957

Reviews and Comments

Nurse Practitioner Nurses in Marina Del Rey, CA

Holly Nicole Morgan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way, Marina Del Rey, CA 90292 Phone: 888-880-3451
Mrs. Larisa Zabokritskaya, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13209 Fiji Way Unit J, Marina Del Rey, CA 90292 Phone: 310-827-6750
Elisse Vassallo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4676 Admiralty Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-673-3945
Sheila Hernandez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way, Marina Del Rey, CA 90292 Phone: 619-830-4278
Lynn Marie Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13171 Mindanao Way, Marina Del Rey, CA 90292 Phone: 310-821-8908
Cheryl Catalan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Via Marina, Apt 106, Marina Del Rey, CA 90292 Phone: 347-703-3662

Dr Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Marina Del Rey, CA