Omotomike Kuku, in Plano, TX - Medicare Nurse Practitioner

Omotomike Kuku, is a medicare enrolled "Nurse Practitioner - Family" in Plano, Texas. Her current practice location is 850 Central Pkwy E Ste 275, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 881-4688.

Omotomike Kuku is licensed to practice in Texas (license number AP130751) 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 1467802249.

Contact Information

	Omotomike Kuku,
	850 Central Pkwy E Ste 275, Plano, TX 75074-5542
	(972) 881-4688
	Not Available

Map and Direction

Provider's Profile

Full Name	Omotomike Kuku
Gender	Female
Speciality	Nurse Practitioner - Family
Location	850 Central Pkwy E Ste 275, Plano, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467802249
Provider Enumeration Date: 06/13/2016
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1557658796
Enrollment ID: I20240314002027

Medical Identifiers

Medical identifiers for Omotomike Kuku such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467802249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP130751 (Texas)	Primary
163WG0000X	Registered Nurse - General Practice	791355 (Texas)	Secondary

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. Omotomike Kuku allows following entities to bill medicare on her behalf.

Entity Name	Legacy Physiatry Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20070907000584

Entity Name	Enriched Lives Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538736384 PECOS PAC ID: 9436517794 Enrollment ID: O20230622000440

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. Omotomike Kuku 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
Omotomike Kuku, 8011 Rippling Stream Ln, Richmond, TX 77407-1427 Ph: (832) 287-8691	Omotomike Kuku, 850 Central Pkwy E Ste 275, Plano, TX 75074-5542 Ph: (972) 881-4688

Reviews and Comments

Nurse Practitioner Nurses in Plano, TX

Wendy Renee Foster, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Preston Park Blvd, Suite 1450, Plano, TX 75093 Phone: 469-800-4540 Fax: 469-800-4541
Mrs. Cristina James, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 Harkness Dr, Plano, TX 75093 Phone: 214-674-0626
Melissa Coltman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 500, Plano, TX 75093 Phone: 972-941-3100 Fax: 844-292-1461
Mrs. Caroline Kesterson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4708 Alliance Blvd Ste 550, Plano, TX 75093 Phone: 469-800-6140
Mrs. Margie Carol Crews, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4001 W 15th St, Suite 180, Plano, TX 75093 Phone: 972-867-5300 Fax: 972-867-5301
Saeed Niyati, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Coit Rd, Suite 206, Plano, TX 75075 Phone: 972-612-4999
Ms. Tonya Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Plano, TX 75093 Phone: 214-522-4640

Omotomike Kuku, - Medicare Nurse Practitioner in Plano, TX