Vitalis Egwim, in Colton, CA - Medicare Nurse Practitioner

Vitalis Egwim, is a medicare enrolled "Nurse Practitioner" in Colton, California. His current practice location is 1699 E Washington St Apt 2246, Colton, California. You can reach out to his office (for appointments etc.) via phone at (443) 742-8019.

Vitalis Egwim is licensed to practice in California (license number 95014012) 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 1265068878.

Contact Information

	Vitalis Egwim,
	1699 E Washington St Apt 2246, Colton, CA 92324-6460
	(443) 742-8019
	Not Available

Map and Direction

Provider's Profile

Full Name	Vitalis Egwim
Gender	Male
Speciality	Nurse Practitioner
Location	1699 E Washington St Apt 2246, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265068878
Provider Enumeration Date: 03/14/2020
Last Update Date: 03/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5698147767
Enrollment ID: I20230220000078

Medical Identifiers

Medical identifiers for Vitalis Egwim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265068878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95014012 (California)	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. Vitalis Egwim allows following entities to bill medicare on his behalf.

Entity Name	Community Health Centers Of America
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891207684 PECOS PAC ID: 3476813460 Enrollment ID: O20180213001169

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. Vitalis Egwim 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
Vitalis Egwim, 1699 E Washington St Apt 2246, Colton, CA 92324-6460 Ph: (443) 742-8019	Vitalis Egwim, 1699 E Washington St Apt 2246, Colton, CA 92324-6460 Ph: (443) 742-8019

Reviews and Comments

Nurse Practitioner Nurses in Colton, CA

Mr. Raymond Balagtas Tinio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 829 N La Cadena Dr, Colton, CA 92324 Phone: 562-310-5772 Fax: 818-752-9911
Mrs. Esther Y Lo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1181 N Mount Vernon Ave, Colton, CA 92324 Phone: 909-498-2356 Fax: 877-824-9080
Ms. Maria R Lawrence, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Center For Employee Health And Wellness, Colton, CA 92324 Phone: 909-580-1701 Fax: 909-580-1359
Venice Ababat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1449 Linville Ln, Colton, CA 92324 Phone: 909-835-8864
Nicole Genevieve Williams, MD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2186 Fax: 909-580-3814
Jane Nwokeabia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145
Adaobi Maureen Adimorah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3145 Fax: 909-580-2165

Vitalis Egwim, - Medicare Nurse Practitioner in Colton, CA