Mary Ezinne Ezebuiro, in Jbsa Lackland, TX - Medicare Nurse Practitioner

Mary Ezinne Ezebuiro, is a medicare enrolled "Nurse Practitioner - Family" in Jbsa Lackland, Texas. Her current practice location is 1100 Wilford Hall Loop # 4554, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-7026.

Mary Ezinne Ezebuiro is licensed to practice in Texas (license number AP138218) 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 1881179588.

Contact Information

	Mary Ezinne Ezebuiro,
	1100 Wilford Hall Loop # 4554, Jbsa Lackland, TX 78236-5638
	(210) 292-7026
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Ezinne Ezebuiro
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1100 Wilford Hall Loop # 4554, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881179588
Provider Enumeration Date: 09/27/2018
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 2264786854
Enrollment ID: I20181119000421

Medical Identifiers

Medical identifiers for Mary Ezinne Ezebuiro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881179588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP138218 (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. Mary Ezinne Ezebuiro allows following entities to bill medicare on her behalf.

Entity Name	Vpa Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702

Entity Name	Remix Medical, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891207601 PECOS PAC ID: 9638437338 Enrollment ID: O20180102001397

Entity Name	Attigo Infusion Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891339644 PECOS PAC ID: 5597190645 Enrollment ID: O20200117000376

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. Mary Ezinne Ezebuiro 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
Mary Ezinne Ezebuiro, 1100 Wilford Hall Loop # 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-7026	Mary Ezinne Ezebuiro, 1100 Wilford Hall Loop # 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-7026

Reviews and Comments

Nurse Practitioner Nurses in Jbsa Lackland, TX

Ms. Kimberly K Morgan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-925-8318
Adrienne N Fields, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1940 Carswell Ave Bldg 7002, Jbsa Lackland, TX 78236 Phone: 210-292-1044
April Lawson Ellis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-2003
Dr. Alexander Valdez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-1455
Apryl Young, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-1455
Mrs. Yvette E Stephenson, RNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-520-3078
Zipporah Brown, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-1455

Mary Ezinne Ezebuiro, - Medicare Nurse Practitioner in Jbsa Lackland, TX