Kikelomo Ejiogu, NURSE PRACTITIONER - Medicare Registered Nurse in Far Rockaway, NY

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Kikelomo Ejiogu, NURSE PRACTITIONER is a medicare enrolled "Registered Nurse - Medical-surgical" in Far Rockaway, New York. Her current practice location is 2530 Camp Rd, Far Rockaway, New York. You can reach out to her office (for appointments etc.) via phone at (917) 373-9143.

Kikelomo Ejiogu is licensed to practice in New York (license number 526936-1) 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 1447568035.

Contact Information

Kikelomo Ejiogu, NURSE PRACTITIONER
2530 Camp Rd,
Far Rockaway, NY 11691-2725
(917) 373-9143
(718) 241-1759

Map and Direction




Provider's Profile

Full NameKikelomo Ejiogu
GenderFemale
SpecialityRegistered Nurse - Medical-surgical
Location2530 Camp Rd, Far Rockaway, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447568035
  • Provider Enumeration Date: 09/17/2010
  • Last Update Date: 09/17/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6608133095
  • Enrollment ID: I20171120000523

Medical Identifiers

Medical identifiers for Kikelomo Ejiogu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447568035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse F305040-1 (New York)Secondary
163WM0705XRegistered Nurse - Medical-surgical 526936-1 (New York)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. Kikelomo Ejiogu allows following entities to bill medicare on her behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameNorth Shore Health System Medical Faculty Group Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003409061
PECOS PAC ID: 8022417328
Enrollment ID: O20210518002265

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. Kikelomo Ejiogu 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 AddressPractice Location Address
Kikelomo Ejiogu, NURSE PRACTITIONER
2530 Camp Rd,
Far Rockaway, NY 11691-2725

Ph: (917) 373-9143		Kikelomo Ejiogu, NURSE PRACTITIONER
2530 Camp Rd,
Far Rockaway, NY 11691-2725

Ph: (917) 373-9143

Reviews and Comments


Registered Nurse Nurses in Far Rockaway, NY

Mrs. Avigail Hammond Weiss, RN
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Elisheva Rachel Schorr,
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Ms. Lorna Elaine Hanson, REGISTERED NURSE
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Aaleyah Coppin,
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Mrs. Anne Patricia Keane-beehler, RN
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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