Munachi Queena Ezenwata, FNP, PMHNP - Medicare Nurse Practitioner in Las Vegas, NV

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Munachi Queena Ezenwata, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Las Vegas, Nevada. Her current practice location is 400 Shadow Ln, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 805-2069.

Munachi Queena Ezenwata is licensed to practice in Nevada (license number 824487) 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 1194356733.

Contact Information

Munachi Queena Ezenwata, FNP, PMHNP
400 Shadow Ln,
Las Vegas, NV 89106-4363
(702) 805-2069
Not Available

Map and Direction




Provider's Profile

Full NameMunachi Queena Ezenwata
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location400 Shadow Ln, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194356733
  • Provider Enumeration Date: 02/02/2020
  • Last Update Date: 02/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749611598
  • Enrollment ID: I20200511001788

Medical Identifiers

Medical identifiers for Munachi Queena Ezenwata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194356733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 824487 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 824487 (Nevada)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. Munachi Queena Ezenwata allows following entities to bill medicare on her behalf.
Entity NameChinany Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164880001
PECOS PAC ID: 3173828175
Enrollment ID: O20160301000843
Entity NameHalo Health Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255028940
PECOS PAC ID: 5092161737
Enrollment ID: O20231031003939
Entity NameOptimal Mental Health Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487419057
PECOS PAC ID: 2668814179
Enrollment ID: O20240530000237

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. Munachi Queena Ezenwata 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 AddressPractice Location Address
Munachi Queena Ezenwata, FNP, PMHNP
Po Box 30771,
Las Vegas, NV 89173-0771

Ph: (630) 795-9110		Munachi Queena Ezenwata, FNP, PMHNP
400 Shadow Ln,
Las Vegas, NV 89106-4363

Ph: (702) 805-2069

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.