Ms Wanda Ikeda, ACNP in Tupelo, MS - Medicare Nurse Practitioner

Ms Wanda Ikeda, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Tupelo, Mississippi. Her current practice location is 499 Gloster Creek Vlg Ste A2, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 620-6800.

Ms Wanda Ikeda is licensed to practice in Mississippi (license number R696196) 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 1013114677.

Contact Information

	Ms Wanda Ikeda, ACNP
	499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749
	(662) 620-6800
	(662) 377-2403

Map and Direction

Provider's Profile

Full Name	Ms Wanda Ikeda
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	499 Gloster Creek Vlg Ste A2, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013114677
Provider Enumeration Date: 06/28/2007
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 5496847147
Enrollment ID: I20070910000984

Medical Identifiers

Medical identifiers for Ms Wanda Ikeda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013114677	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R696196 (Mississippi)	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. Ms Wanda Ikeda allows following entities to bill medicare on her behalf.

Entity Name	Cardiology Associates Of North Ms Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902971492 PECOS PAC ID: 4688648595 Enrollment ID: O20040825000433

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. Ms Wanda Ikeda 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
Ms Wanda Ikeda, ACNP Po Box 3488, Tupelo, MS 38803-3488 Ph: (662) 377-2949	Ms Wanda Ikeda, ACNP 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 Ph: (662) 620-6800

Reviews and Comments

Nurse Practitioner Nurses in Tupelo, MS

Nicole Sherice Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-5930
Mrs. Rebecca Perry Ward, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801 Phone: 662-377-7354 Fax: 662-377-5301
Mrs. Tina King, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350
Anna Danielle Woodruff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030
Jennifer L Taylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 205-412-0585
Kalisa Mickell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000

Ms Wanda Ikeda, ACNP - Medicare Nurse Practitioner in Tupelo, MS