Pearl Ezegrim, PMHNP-BC - Medicare Nurse Practitioner in Richardson, TX

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Pearl Ezegrim, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Richardson, Texas. Her current practice location is 743 Brick Row Dr Apt 1224, Richardson, Texas. You can reach out to her office (for appointments etc.) via phone at (847) 693-6582.

Pearl Ezegrim is licensed to practice in Texas (license number 1088688) 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 1972054716.

Contact Information

Pearl Ezegrim, PMHNP-BC
743 Brick Row Dr Apt 1224,
Richardson, TX 75081-4980
(847) 693-6582
Not Available

Map and Direction




Provider's Profile

Full NamePearl Ezegrim
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location743 Brick Row Dr Apt 1224, Richardson, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972054716
  • Provider Enumeration Date: 10/17/2016
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062889058
  • Enrollment ID: I20221103002666

Medical Identifiers

Medical identifiers for Pearl Ezegrim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972054716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 896510 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1088688 (Texas)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. Pearl Ezegrim allows following entities to bill medicare on her behalf.
Entity NameFamily And Child Guidance Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811062367
PECOS PAC ID: 1153413711
Enrollment ID: O20070828000060
Entity NameTapestry Telehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992215446
PECOS PAC ID: 4789942335
Enrollment ID: O20180403002244
Entity NameNorth Texas Behavioral Health Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457720120
PECOS PAC ID: 2769804350
Enrollment ID: O20200629001278
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220525002138
Entity NameMcgrim Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689453334
PECOS PAC ID: 5496100042
Enrollment ID: O20231017002070

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. Pearl Ezegrim 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
Pearl Ezegrim, PMHNP-BC
743 Brick Row Dr Apt 1224,
Richardson, TX 75081-4980

Ph: (847) 693-6582		Pearl Ezegrim, PMHNP-BC
743 Brick Row Dr Apt 1224,
Richardson, TX 75081-4980

Ph: (847) 693-6582

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.