Mrs Mavis Efuetngu, PMHNP in San Bernardino, CA

Mrs Mavis Efuetngu, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Bernardino, California. Her current practice location is 255 N D St Ste 400, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (951) 318-5396.

Mrs Mavis Efuetngu is licensed to practice in California (license number 95014162) 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 1538787239.

Contact Information

	Mrs Mavis Efuetngu, PMHNP
	255 N D St Ste 400, San Bernardino, CA 92401-1715
	(951) 318-5396
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mavis Efuetngu
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	255 N D St Ste 400, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538787239
Provider Enumeration Date: 07/09/2020
Last Update Date: 03/13/2023

Medicare PECOS Information:

PECOS PAC ID: 5496101404
Enrollment ID: I20240116003870

Medical Identifiers

Medical identifiers for Mrs Mavis Efuetngu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538787239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95014162 (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 Mavis Efuetngu allows following entities to bill medicare on her behalf.

Entity Name	Diligence Care Plus Nursing Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548977242 PECOS PAC ID: 2961867809 Enrollment ID: O20230428001996

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 Mavis Efuetngu 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 Mavis Efuetngu, PMHNP 415 East Ave I, Lancaster, CA 93535 Ph: (661) 522-6770	Mrs Mavis Efuetngu, PMHNP 255 N D St Ste 400, San Bernardino, CA 92401-1715 Ph: (951) 318-5396

Reviews and Comments

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Laura Andrews, NURSE PRACTIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 598 N F St, San Bernardino, CA 92410 Phone: 909-888-8152 Fax: 909-884-7530
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Saul Ramirez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Western Ave Ste 401, San Bernardino, CA 92411 Phone: 909-880-3677

Mrs Mavis Efuetngu, PMHNP - Medicare Nurse Practitioner in San Bernardino, CA