Kalu Okorie, in Surprise, AZ - Medicare Nurse Practitioner

Kalu Okorie, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Surprise, Arizona. His current practice location is 16416 W Desert Mirage Dr, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 360-1002.

Kalu Okorie is licensed to practice in Arizona (license number 284759) 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 1265143283.

Contact Information

	Kalu Okorie,
	16416 W Desert Mirage Dr, Surprise, AZ 85388-5491
	(480) 360-1002
	Not Available

Map and Direction

Provider's Profile

Full Name	Kalu Okorie
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	16416 W Desert Mirage Dr, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265143283
Provider Enumeration Date: 12/09/2022
Last Update Date: 09/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2769828516
Enrollment ID: I20240327002348

Medical Identifiers

Medical identifiers for Kalu Okorie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265143283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	284759 (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. Kalu Okorie allows following entities to bill medicare on his behalf.

Entity Name	Theselah Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144901315 PECOS PAC ID: 1850737602 Enrollment ID: O20240314003187

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. Kalu Okorie 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
Kalu Okorie, 16416 W Desert Mirage Dr, Surprise, AZ 85388-5491 Ph: (480) 360-1002	Kalu Okorie, 16416 W Desert Mirage Dr, Surprise, AZ 85388-5491 Ph: (480) 360-1002

Reviews and Comments

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Kalu Okorie, - Medicare Nurse Practitioner in Surprise, AZ