Olivia Chinonso Iheanacho, | |
4131 Spicewood Springs Rd, Austin, TX 78759-8661 | |
(512) 732-2122 | |
(512) 732-2124 |
Full Name | Olivia Chinonso Iheanacho |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4131 Spicewood Springs Rd, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154851129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 835635 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1105564 (Texas) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
Mailing Address | Practice Location Address |
---|---|
Olivia Chinonso Iheanacho, 1430 Collier St, Austin, TX 78704-2911 Ph: (512) 472-4357 | Olivia Chinonso Iheanacho, 4131 Spicewood Springs Rd, Austin, TX 78759-8661 Ph: (512) 732-2122 |
Valerie Maclaurin, APRN, CPNP-AC/PC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5339 N Ih 35 Ste 100, Austin, TX 78723 Phone: 512-628-1898 Fax: 512-600-1849 | |
Anna Bullock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2609 Blake St, Austin, TX 78748 Phone: 512-923-1509 | |
Jennifer Krena, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4900 Mueller Blvd, Austin, TX 78723 Phone: 512-324-0000 | |
Elizabeth Nabila Khan, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11711 N Lamar Blvd, Austin, TX 78753 Phone: 512-599-8349 | |
Jessica Anne Brown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4316 James Casey St, Austin, TX 78745 Phone: 512-623-5300 | |
Kendall Faith Kayworth, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8402 Cross Park Dr, Austin, TX 78754 Phone: 512-549-8021 | |
Ms. Amber Leigh Peoples, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 W 34th St Ste 400, Austin, TX 78705 Phone: 512-459-6599 Fax: 512-459-8496 |