Mrs Divine C Ezewuzie, RN in Malden, MA - Medicare Nurse Practitioner

Mrs Divine C Ezewuzie, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Malden, Massachusetts. Her current practice location is 118 Belmont St, Malden, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 656-2256.

Mrs Divine C Ezewuzie is licensed to practice in Massachusetts (license number RN267871) 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 1831437011.

Contact Information

	Mrs Divine C Ezewuzie, RN
	118 Belmont St, Malden, MA 02148-7769
	(781) 656-2256
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Divine C Ezewuzie
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	118 Belmont St, Malden, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831437011
Provider Enumeration Date: 01/23/2013
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 5294180576
Enrollment ID: I20231005002305

Medical Identifiers

Medical identifiers for Mrs Divine C Ezewuzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831437011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN267871 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN267871 (Massachusetts)	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 Divine C Ezewuzie allows following entities to bill medicare on her behalf.

Entity Name	Supportive Behavioral Care Of Ma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877

Entity Name	Trive Tru Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457114944 PECOS PAC ID: 4587006341 Enrollment ID: O20240524000139

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 Divine C Ezewuzie 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 Divine C Ezewuzie, RN 118 Belmont St, Malden, MA 02148-7769 Ph: (781) 656-2256	Mrs Divine C Ezewuzie, RN 118 Belmont St, Malden, MA 02148-7769 Ph: (781) 656-2256

Reviews and Comments

Nurse Practitioner Nurses in Malden, MA

Jennifer Suxin Yu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 63 Cedar St, Malden, MA 02148 Phone: 617-669-1588
Mrs. Elaine Marie Stiehl, NP, RN/PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 178 Savin St, Suite 200, Malden, MA 02148 Phone: 781-338-7250 Fax: 781-338-7245
Samuelle A Jean Charles, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 147 Clifton St Unit 2, Malden, MA 02148 Phone: 857-389-4086
Sandy Lam Alvarado, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Beach St, Malden, MA 02148 Phone: 617-928-8200
Anya V Cabot, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Highland Ave, Malden, MA 02148 Phone: 617-233-7971
Lisa Curtain, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Pleasant St # 858, Malden, MA 02148 Phone: 774-789-6604 Fax: 423-214-2240
Carmen Antonellis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 578 Main St, Malden, MA 02148 Phone: 781-321-3422 Fax: 781-321-1863

Mrs Divine C Ezewuzie, RN - Medicare Nurse Practitioner in Malden, MA