Kingsley Eboru, in Goodyear, AZ - Medicare Nurse Practitioner

Kingsley Eboru, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Goodyear, Arizona. His current practice location is 13555 W Mcdowell Rd Ste 205, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 295-1190.

Kingsley Eboru is licensed to practice in Arizona (license number 301080) 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 1336916105.

Contact Information

	Kingsley Eboru,
	13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395-2626
	(623) 295-1190
	Not Available

Map and Direction

Provider's Profile

Full Name	Kingsley Eboru
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13555 W Mcdowell Rd Ste 205, Goodyear, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336916105
Provider Enumeration Date: 12/11/2023
Last Update Date: 12/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6901257245
Enrollment ID: I20240110004529

Medical Identifiers

Medical identifiers for Kingsley Eboru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336916105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	301080 (Arizona)	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. Kingsley Eboru allows following entities to bill medicare on his behalf.

Entity Name	Leading Healthcare Specialist, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497390561 PECOS PAC ID: 6002246352 Enrollment ID: O20200428002292

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. Kingsley Eboru 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
Kingsley Eboru, 5501 N 19th Ave Ste 425, Phoenix, AZ 85015-2481 Ph: () -	Kingsley Eboru, 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395-2626 Ph: (623) 295-1190

Reviews and Comments

Nurse Practitioner Nurses in Goodyear, AZ

Benilde Mwiseneza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-295-1190
Jennifer Mae Prescott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 N Litchfield Rd Ste 200, Goodyear, AZ 85338 Phone: 602-243-7277 Fax: 602-323-8048
Miss Kathryn Leigh Miller, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395 Phone: 623-512-4390
Amanda Jo Frary, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395 Phone: 623-404-3046
Shannon Torrez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16751 W Shiloh Ave, Goodyear, AZ 85338 Phone: 480-372-7703
Yvette Thorson, PA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 N Estrella Pkwy Ste 60, Goodyear, AZ 85338 Phone: 623-321-5079 Fax: 623-321-5083
Allison Marie Popa, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2840 N Dysart Rd, Goodyear, AZ 85395 Phone: 623-536-5309

Kingsley Eboru, - Medicare Nurse Practitioner in Goodyear, AZ