Victoria O Obianwu, - Medicare Nurse Practitioner in Jacksonville, TX

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Victoria O Obianwu, is a medicare enrolled "Nurse Practitioner" in Jacksonville, Texas. Her current practice location is 1602 S Jackson St, Jacksonville, Texas. You can reach out to her office (for appointments etc.) via phone at (430) 205-4150.

Victoria O Obianwu is licensed to practice in Texas (license number 1129635) 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 1124708078.

Contact Information

Victoria O Obianwu,
1602 S Jackson St,
Jacksonville, TX 75766-3028
(430) 205-4150
Not Available

Map and Direction




Provider's Profile

Full NameVictoria O Obianwu
GenderFemale
SpecialityNurse Practitioner
Location1602 S Jackson St, Jacksonville, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124708078
  • Provider Enumeration Date: 07/24/2023
  • Last Update Date: 12/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779931308
  • Enrollment ID: I20231121000963

Medical Identifiers

Medical identifiers for Victoria O Obianwu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124708078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1129635 (Texas)Secondary
363L00000XNurse Practitioner 1129635 (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. Victoria O Obianwu allows following entities to bill medicare on her behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameMother Frances Hospital Regional Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679578439
PECOS PAC ID: 9234025636
Enrollment ID: O20040610001042
Entity NameUt East Texas Urgent Care Centers, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356974281
PECOS PAC ID: 7517385388
Enrollment ID: O20200910000672

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. Victoria O Obianwu 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
Victoria O Obianwu,
1602 S Jackson St,
Jacksonville, TX 75766-3028

Ph: (430) 205-4150		Victoria O Obianwu,
1602 S Jackson St,
Jacksonville, TX 75766-3028

Ph: (430) 205-4150

Reviews and Comments


Nurse Practitioner Nurses in Jacksonville, TX

Mr. Jacob Martin Cabrera, APRN, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 2026 S Jackson St, Jacksonville, TX 75766
Phone: 903-541-4500    
Mrs. Traci Cameron, NP
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Practice Location: 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766
Phone: 903-541-5455    Fax: 903-541-5456
Deborah Garganera Ledesma, FNP-C
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Practice Location: 510 E Commerce St, Jacksonville, TX 75766
Phone: 903-535-9041    
Pamela D Mackay, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2026 S Jackson St, Jacksonville, TX 75766
Phone: 903-586-5678    
Mabel N. Nwachukwu, PMHNP
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Practice Location: 1011 College Ave, Jacksonville, TX 75766
Phone: 903-586-9000    
Mrs. Kristin White, APRN, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 305 W Rusk St, Jacksonville, TX 75766
Phone: 903-500-8252    

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.