Samuel Okechukwu, in Passaic, NJ - Medicare Nurse Practitioner

Samuel Okechukwu, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Passaic, New Jersey. His current practice location is 350 Boulevard, Passaic, New Jersey. You can reach out to his office (for appointments etc.) via phone at (862) 596-4831.

Samuel Okechukwu is licensed to practice in New Jersey (license number 26NJ01197300) 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 1396412763.

Contact Information

	Samuel Okechukwu,
	350 Boulevard, Passaic, NJ 07055-2840
	(862) 596-4831
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel Okechukwu
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	350 Boulevard, Passaic, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396412763
Provider Enumeration Date: 08/24/2021
Last Update Date: 08/24/2021

Medicare PECOS Information:

PECOS PAC ID: 3173993250
Enrollment ID: I20230124001497

Medical Identifiers

Medical identifiers for Samuel Okechukwu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396412763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ01197300 (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. Samuel Okechukwu allows following entities to bill medicare on his behalf.

Entity Name	Success Tms Professional Services New Jersey Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790309862 PECOS PAC ID: 9638592249 Enrollment ID: O20200714002961

Entity Name	My Psych Provider Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730954595 PECOS PAC ID: 8224487921 Enrollment ID: O20231206002873

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. Samuel Okechukwu 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
Samuel Okechukwu, 350 Boulevard, Passaic, NJ 07055-2840 Ph: () -	Samuel Okechukwu, 350 Boulevard, Passaic, NJ 07055-2840 Ph: (862) 596-4831

Reviews and Comments

Nurse Practitioner Nurses in Passaic, NJ

Esther Noble, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 154 Main Ave, Passaic, NJ 07055 Phone: 973-437-3333
Dr. Marie Ann Addesa, APN, D.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 647 Main Ave Ste 202, Passaic, NJ 07055 Phone: 973-778-2300
Cesar Valentin I, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Main Avenue, Passaic, NJ 07055 Phone: 973-458-8000 Fax: 973-458-8425
Mounir Bachiri, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Passaic Ave, Passaic, NJ 07055 Phone: 973-777-8900
Dexter Mata Caldona, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Aycrigg Ave, Passaic, NJ 07055 Phone: 973-981-0476
Kevin Suttles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 293 Passaic St, Passaic, NJ 07055 Phone: 973-916-0002 Fax: 973-371-2543
Daiana Guerrero, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Broadway Ste 100, Passaic, NJ 07055 Phone: 973-572-1035 Fax: 973-547-7872

Samuel Okechukwu, - Medicare Nurse Practitioner in Passaic, NJ