Mr Samuel Uchechukwu Chilaka, NP in Vista, CA

Mr Samuel Uchechukwu Chilaka, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Vista, California. His current practice location is 1000 Vale Terrace Dr, Vista, California. You can reach out to his office (for appointments etc.) via phone at (844) 308-5003.

Mr Samuel Uchechukwu Chilaka is licensed to practice in California (license number 95017483) 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 1679140644.

Contact Information

	Mr Samuel Uchechukwu Chilaka, NP
	1000 Vale Terrace Dr, Vista, CA 92084-5218
	(844) 308-5003
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Samuel Uchechukwu Chilaka
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1000 Vale Terrace Dr, Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679140644
Provider Enumeration Date: 06/08/2021
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 8527425891
Enrollment ID: I20230531002448

Medical Identifiers

Medical identifiers for Mr Samuel Uchechukwu Chilaka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679140644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95017483 (California)	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. Mr Samuel Uchechukwu Chilaka allows following entities to bill medicare on his behalf.

Entity Name	Ehab Yacoub Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071

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. Mr Samuel Uchechukwu Chilaka 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
Mr Samuel Uchechukwu Chilaka, NP 3949 Thornburgh Pl, Torrance, CA 90504-1116 Ph: (323) 327-3167	Mr Samuel Uchechukwu Chilaka, NP 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (844) 308-5003

Reviews and Comments

Nurse Practitioner Nurses in Vista, CA

Patricia R Holland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713
Miss Lorrie Lee York, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1237 Green Oak Rd, Vista, CA 92081 Phone: 760-598-2803 Fax: 760-598-5347
Ingrid Dekkers-o'hare, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000
Pamela N Kingery, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-407-1220
Gee Yeoun Dugan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000
Judy Puryear, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, #250, Vista, CA 92083 Phone: 760-724-7171 Fax: 760-941-3986
Rana Safiedine, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 S Melrose Dr, Vista, CA 92081 Phone: 760-291-6700

Mr Samuel Uchechukwu Chilaka, NP - Medicare Nurse Practitioner in Vista, CA