Kenneth Ezenwa, RN in Canyon Country, CA - Medicare Nurse Practitioner

Kenneth Ezenwa, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Canyon Country, California. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Inland Psychiatric Medical Group Inc and his current practice location is 17467 Honey Maple St, Canyon Country, California. You can reach out to his office (for appointments etc.) via phone at (661) 212-5273.

Kenneth Ezenwa is licensed to practice in California (license number 95080178) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003379959.

Contact Information

	Kenneth Ezenwa, RN
	17467 Honey Maple St, Canyon Country, CA 91387-6870
	(661) 212-5273
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth Ezenwa
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	17467 Honey Maple St, Canyon Country, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth Ezenwa graduated from nursing school in 2020

NPI Data:

NPI Number: 1003379959
Provider Enumeration Date: 04/08/2019
Last Update Date: 02/08/2022

Medicare PECOS Information:

PECOS PAC ID: 1951788215
Enrollment ID: I20220506002213

Medical Identifiers

Medical identifiers for Kenneth Ezenwa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003379959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	95080178 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95080178 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inland Psychiatric Medical Group Inc	9436062312	95

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. Kenneth Ezenwa allows following entities to bill medicare on his behalf.

Entity Name	Inland Psychiatric Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736

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. Kenneth Ezenwa 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
Kenneth Ezenwa, RN 17467 Honey Maple St, Canyon Country, CA 91387-6870 Ph: (661) 212-5273	Kenneth Ezenwa, RN 17467 Honey Maple St, Canyon Country, CA 91387-6870 Ph: (661) 212-5273

Reviews and Comments

Nurse Practitioner Nurses in Canyon Country, CA

Caroline Julie Hanks, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27141 Hidaway Ave Ste 106, Canyon Country, CA 91351 Phone: 661-252-8469
Karen Joyce Soriano, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17228 Mount Stephen Ave, Canyon Country, CA 91387 Phone: 661-877-2794
Ms. Dina Agazaryan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18302 Sierra Hwy Ste 101, Canyon Country, CA 91351 Phone: 661-424-9159
Alysia Marie Schwarz, R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5232 Fax: 661-250-5210
Ressie D. Ramos, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5216 Fax: 661-250-5285
Christienne Benedicto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27022 Mountain Willow Ln, Canyon Country, CA 91387 Phone: 818-653-0332
Ryan Benedicto, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27022 Mountain Willow Ln, Canyon Country, CA 91387 Phone: 818-653-0284

Kenneth Ezenwa, RN - Medicare Nurse Practitioner in Canyon Country, CA