Lawretta Njideka Ezukanma, RN in Fort Worth, TX

Lawretta Njideka Ezukanma, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Worth, Texas. Her current practice location is 9908 Lamberton Ter, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 980-5659.

Lawretta Njideka Ezukanma is licensed to practice in Texas (license number 1146978) 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 1841526142.

Contact Information

	Lawretta Njideka Ezukanma, RN
	9908 Lamberton Ter, Fort Worth, TX 76244-8514
	(817) 980-5659
	(817) 562-2544

Map and Direction

Provider's Profile

Full Name	Lawretta Njideka Ezukanma
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9908 Lamberton Ter, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841526142
Provider Enumeration Date: 10/22/2009
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8628233525
Enrollment ID: I20240229000554

Medical Identifiers

Medical identifiers for Lawretta Njideka Ezukanma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841526142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WA2000X	Registered Nurse - Administrator	719537 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1146978 (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. Lawretta Njideka Ezukanma allows following entities to bill medicare on her behalf.

Entity Name	Amanji Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538937818 PECOS PAC ID: 1850736893 Enrollment ID: O20240229000375

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. Lawretta Njideka Ezukanma 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
Lawretta Njideka Ezukanma, RN 9908 Lamberton Ter, Fort Worth, TX 76244-8514 Ph: (817) 980-5659	Lawretta Njideka Ezukanma, RN 9908 Lamberton Ter, Fort Worth, TX 76244-8514 Ph: (817) 980-5659

Reviews and Comments

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Lawretta Njideka Ezukanma, RN - Medicare Nurse Practitioner in Fort Worth, TX