Omezie A Molokwu, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lakehurst, New Jersey. His current practice location is
1602 Pinehurst Est, Lakehurst, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(848) 459-0525.
Omezie A Molokwu is licensed to practice in New Jersey (license number 26NJ01058700) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093322935.
Provider's Profile
Full Name | Omezie A Molokwu |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1602 Pinehurst Est, Lakehurst, New Jersey |
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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: 1093322935
- Provider Enumeration Date: 09/24/2020
- Last Update Date: 09/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294149589
- Enrollment ID: I20210127003259
Medical Identifiers
Medical identifiers for Omezie A Molokwu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093322935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01058700 (New Jersey) | 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. Omezie A Molokwu allows following entities to bill medicare on his behalf.
Entity Name | Faspsych Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831682111 PECOS PAC ID: 2860818929 Enrollment ID: O20201112003276 |
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Entity Name | Grace Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437766375 PECOS PAC ID: 9931513223 Enrollment ID: O20210127003101 |
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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. Omezie A Molokwu 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 |
Omezie A Molokwu, 1602 Pinehurst Est, Lakehurst, NJ 08733-2414 Ph: (848) 459-0525 | Omezie A Molokwu, 1602 Pinehurst Est, Lakehurst, NJ 08733-2414 Ph: (848) 459-0525 |
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