Justina Ikimi, NP in Hollywood, FL - Medicare Nurse Practitioner

Justina Ikimi, NP is a medicare enrolled "Nurse Practitioner - Family" in Hollywood, Florida. Her current practice location is 200 S Park Rd Ste 200, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (866) 986-2263.

Justina Ikimi is licensed to practice in Texas (license number 1047607) 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 1760982318.

Contact Information

	Justina Ikimi, NP
	200 S Park Rd Ste 200, Hollywood, FL 33021-8541
	(866) 986-2263
	(866) 968-6339

Map and Direction

Provider's Profile

Full Name	Justina Ikimi
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 S Park Rd Ste 200, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760982318
Provider Enumeration Date: 02/20/2018
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6800162793
Enrollment ID: I20220217000157

Medical Identifiers

Medical identifiers for Justina Ikimi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760982318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH0200X	Registered Nurse - Home Health	672715 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	F348931-01 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	1047607 (Texas)	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. Justina Ikimi allows following entities to bill medicare on her behalf.

Entity Name	House Call Medical Services Of New York Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427

Entity Name	Essen Medical Urgicare, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903

Entity Name	Bronx Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004

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. Justina Ikimi 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
Justina Ikimi, NP 200 S Park Rd Ste 200200s, Hollywood, FL 33021-8592 Ph: (866) 986-2263	Justina Ikimi, NP 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 Ph: (866) 986-2263

Reviews and Comments

Nurse Practitioner Nurses in Hollywood, FL

Fiorella Jahaira Saka, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave, Suite 590, Hollywood, FL 33021 Phone: 954-265-9500 Fax: 954-265-1431
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Andrea Annmarie Goulbourne-smith, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7369 Sheridan St Ste 101, Hollywood, FL 33024 Phone: 954-561-6222 Fax: 954-990-7650
Roberto Santamaria, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1957 Jackson St, Hollywood, FL 33020 Phone: 954-921-2600
Jennifer Aphrodite Germain, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 N 53rd Ave, Hollywood, FL 33021 Phone: 305-450-8698
Linda C Barreras, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S Federal Hwy, Hollywood, FL 33020 Phone: 954-342-8800 Fax: 954-342-8700
Mrs. Christine M Browne, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 S Park Rd Ste 200, Hollywood, FL 33021 Phone: 954-923-7440 Fax: 954-923-1299

Justina Ikimi, NP - Medicare Nurse Practitioner in Hollywood, FL