Mrs Amara Jenevin Ezumah, PMHNP MSN, RN in Los Angeles, CA

Mrs Amara Jenevin Ezumah, PMHNP MSN, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Angeles, California. Her current practice location is 1702 W 107th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 476-2007.

Mrs Amara Jenevin Ezumah is licensed to practice in California (license number 95022494) 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 1427770940.

Contact Information

	Mrs Amara Jenevin Ezumah, PMHNP MSN, RN
	1702 W 107th St, Los Angeles, CA 90047-4444
	(323) 476-2007
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amara Jenevin Ezumah
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1702 W 107th St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427770940
Provider Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022

Medicare PECOS Information:

PECOS PAC ID: 2961872601
Enrollment ID: I20221221002149

Medical Identifiers

Medical identifiers for Mrs Amara Jenevin Ezumah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427770940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95022494 (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. Mrs Amara Jenevin Ezumah allows following entities to bill medicare on her behalf.

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

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. Mrs Amara Jenevin Ezumah 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
Mrs Amara Jenevin Ezumah, PMHNP MSN, RN 1702 W 107th St, Los Angeles, CA 90047-4444 Ph: (323) 476-2007	Mrs Amara Jenevin Ezumah, PMHNP MSN, RN 1702 W 107th St, Los Angeles, CA 90047-4444 Ph: (323) 476-2007

Reviews and Comments

Nurse Practitioner Nurses in Los Angeles, CA

Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216
Maria Del Carmen Castillo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 E 1st St, Los Angeles, CA 90063 Phone: 323-262-6935 Fax: 323-262-3109
Anna Teresa Mendoza Tsay, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3913 York Blvd, Los Angeles, CA 90065 Phone: 323-532-1900
Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190
Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000

Mrs Amara Jenevin Ezumah, PMHNP MSN, RN - Medicare Nurse Practitioner in Los Angeles, CA