Jude Osagie Ukpebor, PMHNP-BC in Southfield, MI

Jude Osagie Ukpebor, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southfield, Michigan. His current practice location is 27200 Lahser Rd Ste 100, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 208-9215.

Jude Osagie Ukpebor is licensed to practice in Michigan (license number 4704363555) 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 1669227161.

Contact Information

	Jude Osagie Ukpebor, PMHNP-BC
	27200 Lahser Rd Ste 100, Southfield, MI 48034-2137
	(248) 208-9215
	(248) 208-9217

Map and Direction

Provider's Profile

Full Name	Jude Osagie Ukpebor
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	27200 Lahser Rd Ste 100, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669227161
Provider Enumeration Date: 04/19/2024
Last Update Date: 04/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7810432325
Enrollment ID: I20241121002332

Medical Identifiers

Medical identifiers for Jude Osagie Ukpebor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669227161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704363555 (Michigan)	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. Jude Osagie Ukpebor allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Rehabilitation Clinics, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811020035 PECOS PAC ID: 8022039742 Enrollment ID: O20051209000233

Entity Name	St Jude Therapy Center Staffing
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538999784 PECOS PAC ID: 2567996978 Enrollment ID: O20241107002412

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. Jude Osagie Ukpebor 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
Jude Osagie Ukpebor, PMHNP-BC 27200 Lahser Rd Ste 100, Southfield, MI 48034-2137 Ph: (248) 208-9215	Jude Osagie Ukpebor, PMHNP-BC 27200 Lahser Rd Ste 100, Southfield, MI 48034-2137 Ph: (248) 208-9215

Reviews and Comments

Nurse Practitioner Nurses in Southfield, MI

Mrs. Theonna Monique Hindmon-harris, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21700 Northwestern Hwy Ste 815, Southfield, MI 48075 Phone: 248-557-3337 Fax: 248-557-3339
Charmaine Adegeye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25240 Lahser Rd Ste 2, Southfield, MI 48033 Phone: 248-564-1367 Fax: 734-725-6746
Ms. Jessica L Beacome, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 101 Fischer Center, Southfield, MI 48075 Phone: 248-849-8716 Fax: 248-849-2565
Teresea Ann Zarza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2528 Fax: 248-849-8256
Nicole Noel Silvestri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489
Mrs. Caroline B Trapp, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29201 Telegraph Rd, Suite 404, Southfield, MI 48034 Phone: 248-355-0880 Fax: 248-355-9232
Mrs. Bernadette Ann Bruno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2536

Jude Osagie Ukpebor, PMHNP-BC - Medicare Nurse Practitioner in Southfield, MI