Theresa Chibuzo Ezenwajiaku, in Bowie, MD - Medicare Nurse Practitioner

Theresa Chibuzo Ezenwajiaku, is a medicare enrolled "Nurse Practitioner" in Bowie, Maryland. Her current practice location is 15217 Jennings Ln, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 485-4619.

Theresa Chibuzo Ezenwajiaku is licensed to practice in Maryland (license number AG06220137) 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 1053047977.

Contact Information

	Theresa Chibuzo Ezenwajiaku,
	15217 Jennings Ln, Bowie, MD 20721-7215
	(240) 485-4619
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa Chibuzo Ezenwajiaku
Gender	Female
Speciality	Nurse Practitioner
Location	15217 Jennings Ln, Bowie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053047977
Provider Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 1850734161
Enrollment ID: I20240202003297

Medical Identifiers

Medical identifiers for Theresa Chibuzo Ezenwajiaku such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053047977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AG06220137 (Maryland)	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. Theresa Chibuzo Ezenwajiaku allows following entities to bill medicare on her behalf.

Entity Name	Adventist Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376623207 PECOS PAC ID: 4284631540 Enrollment ID: O20061030000122

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. Theresa Chibuzo Ezenwajiaku 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
Theresa Chibuzo Ezenwajiaku, 15217 Jennings Ln, Bowie, MD 20721-7215 Ph: (240) 485-4619	Theresa Chibuzo Ezenwajiaku, 15217 Jennings Ln, Bowie, MD 20721-7215 Ph: (240) 485-4619

Reviews and Comments

Nurse Practitioner Nurses in Bowie, MD

Ms. Lawanis M Phillips, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14399 Gallant Fox Ln, Ste 222, Bowie, MD 20715 Phone: 301-262-7800
Obiageli Ogbodo, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 Laurel Bowie Rd Ste 209, Bowie, MD 20715 Phone: 240-206-8345
Olabisi Muyinat Oladipo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13206 Steeplechase Dr, Bowie, MD 20715 Phone: 240-413-9883
Dr. Rashaan Lamont Ballard, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15459 Annapolis Rd, Bowie, MD 20715 Phone: 240-544-0676
Marie Binta Kanu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 Tulip Tree Dr, Bowie, MD 20721 Phone: 240-460-5287
Mrs. Melinda Toussaint, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715 Phone: 703-402-7605
Mrs. Shavonne Marie Gumbs, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6111 High Bridge Rd, Bowie, MD 20720 Phone: 301-503-1490 Fax: 301-576-5197

Theresa Chibuzo Ezenwajiaku, - Medicare Nurse Practitioner in Bowie, MD