Mrs Uwaila Iyengunmwena Iredia, is a medicare enrolled "Nurse Practitioner" in Olympia Flds, Illinois. Her current practice location is
3242 Cumberland Trl, Olympia Flds, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 814-5690.
Mrs Uwaila Iyengunmwena Iredia is licensed to practice in Illinois (license number 06200631) 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 1366068520.
Provider's Profile
Full Name | Mrs Uwaila Iyengunmwena Iredia |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 3242 Cumberland Trl, Olympia Flds, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366068520
- Provider Enumeration Date: 06/23/2020
- Last Update Date: 06/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597100545
- Enrollment ID: I20240229000727
Medical Identifiers
Medical identifiers for Mrs Uwaila Iyengunmwena Iredia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366068520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 06200631 (Illinois) | 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 Uwaila Iyengunmwena Iredia allows following entities to bill medicare on her behalf.
Entity Name | Post Acute Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
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Entity Name | Altea Medical Illinois Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
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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 Uwaila Iyengunmwena Iredia 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 Uwaila Iyengunmwena Iredia, 50 S B B King Blvd Ste 100, Memphis, TN 38103-2626 Ph: (901) 436-1381 | Mrs Uwaila Iyengunmwena Iredia, 3242 Cumberland Trl, Olympia Flds, IL 60461-1118 Ph: (773) 814-5690 |
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