Kingsley Eboru, - Medicare Nurse Practitioner in Goodyear, AZ

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Kingsley Eboru, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Goodyear, Arizona. His current practice location is 13555 W Mcdowell Rd Ste 205, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 295-1190.

Kingsley Eboru is licensed to practice in Arizona (license number 301080) 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 1336916105.

Contact Information

Kingsley Eboru,
13555 W Mcdowell Rd Ste 205,
Goodyear, AZ 85395-2626
(623) 295-1190
Not Available

Map and Direction




Provider's Profile

Full NameKingsley Eboru
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location13555 W Mcdowell Rd Ste 205, Goodyear, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336916105
  • Provider Enumeration Date: 12/11/2023
  • Last Update Date: 12/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901257245
  • Enrollment ID: I20240110004529

Medical Identifiers

Medical identifiers for Kingsley Eboru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336916105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 301080 (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. Kingsley Eboru allows following entities to bill medicare on his behalf.
Entity NameLeading Healthcare Specialist, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497390561
PECOS PAC ID: 6002246352
Enrollment ID: O20200428002292
Entity NameAligned Medical Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386267078
PECOS PAC ID: 9234553116
Enrollment ID: O20200724001162

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. Kingsley Eboru 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
Kingsley Eboru,
5501 N 19th Ave Ste 425,
Phoenix, AZ 85015-2481

Ph: () -		Kingsley Eboru,
13555 W Mcdowell Rd Ste 205,
Goodyear, AZ 85395-2626

Ph: (623) 295-1190

Reviews and Comments


Nurse Practitioner Nurses in Goodyear, AZ

Benilde Mwiseneza,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-295-1190    
Miss Kathryn Leigh Miller, ACNPC-AG
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395
Phone: 623-512-4390    
Hussein Haidar,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395
Phone: 623-295-1190    
Amanda Jo Frary, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395
Phone: 623-404-3046    
Shannon Torrez,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 16751 W Shiloh Ave, Goodyear, AZ 85338
Phone: 480-372-7703    
Ana Maria Fuentes, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14415 W Mcdowell Rd Ste D102, Goodyear, AZ 85395
Phone: 623-512-4190    Fax: 623-512-4194
Yvette Thorson, PA
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 750 N Estrella Pkwy Ste 60, Goodyear, AZ 85338
Phone: 623-321-5079    Fax: 623-321-5083

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.