Promise A Iteinjoh, PMHNP-BC in Tucson, AZ - Medicare Nurse Practitioner

Promise A Iteinjoh, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tucson, Arizona. His current practice location is 250 S Toole Ave, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 323-1312.

Promise A Iteinjoh is licensed to practice in Texas (license number 1259529) 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 1134880958.

Contact Information

	Promise A Iteinjoh, PMHNP-BC
	250 S Toole Ave, Tucson, AZ 85701-1814
	(520) 323-1312
	Not Available

Map and Direction

Provider's Profile

Full Name	Promise A Iteinjoh
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	250 S Toole Ave, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134880958
Provider Enumeration Date: 01/04/2022
Last Update Date: 09/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8527441997
Enrollment ID: I20220817002416

Medical Identifiers

Medical identifiers for Promise A Iteinjoh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134880958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	828393 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	273608 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	G167616 (Iowa)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1259529 (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. Promise A Iteinjoh allows following entities to bill medicare on his behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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. Promise A Iteinjoh 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
Promise A Iteinjoh, PMHNP-BC 4122 Guild Meadows Dr, Houston, TX 77084-7681 Ph: (713) 291-8567	Promise A Iteinjoh, PMHNP-BC 250 S Toole Ave, Tucson, AZ 85701-1814 Ph: (520) 323-1312

Reviews and Comments

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Promise A Iteinjoh, PMHNP-BC - Medicare Nurse Practitioner in Tucson, AZ