John Ejikeme, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Junction City, Oregon. His current practice location is
29398 Recovery Way, Junction City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 465-2554.
John Ejikeme is licensed to practice in Oregon (license number 10033753) 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 1962066738.
Provider's Profile
Full Name | John Ejikeme |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 29398 Recovery Way, Junction City, Oregon |
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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: 1962066738
- Provider Enumeration Date: 04/27/2019
- Last Update Date: 01/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072953744
- Enrollment ID: I20240429000487
Medical Identifiers
Medical identifiers for John Ejikeme such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962066738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 939339 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP6139409 (Washington) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10033753 (Oregon) | 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. John Ejikeme allows following entities to bill medicare on his behalf.
Entity Name | Sea-mar Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
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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. John Ejikeme 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 |
John Ejikeme, PMHNP 537 4th St, Springfield, OR 97477-4619 Ph: (214) 875-1806 | John Ejikeme, PMHNP 29398 Recovery Way, Junction City, OR 97448-8447 Ph: (541) 465-2554 |
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