Martha N Adigwe-mozia, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pinedale, California. Her current practice location is
40 E Minarets Ave, Pinedale, California. You can reach out to her office (for appointments etc.) via phone at
(559) 436-0482.
Martha N Adigwe-mozia is licensed to practice in California (license number 11282) 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 1225186133.
Provider's Profile
| Full Name | Martha N Adigwe-mozia |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 40 E Minarets Ave, Pinedale, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225186133
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 03/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 5799745204
- Enrollment ID: I20041018001274
Medical Identifiers
Medical identifiers for Martha N Adigwe-mozia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225186133 | NPI | - | NPPES |
| DU4034-P01508618 | Other | CA | RAILROAD MEDICARE |
| EFF. 6/16/15 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11282 (California) | Primary |
| 363L00000X | Nurse Practitioner | NP11282 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 11282 (California) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | G1112004 (California) | Secondary |
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. Martha N Adigwe-mozia allows following entities to bill medicare on her behalf.
| Entity Name | Inland Psychiatric Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649217761
PECOS PAC ID: 9436062312
Enrollment ID: O20031106000736 |
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| Entity Name | Hi-desert Memorial Health Care District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841612082
PECOS PAC ID: 1254240898
Enrollment ID: O20041201001069 |
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| Entity Name | Clinicas De Salud Del Pueblo Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346313889
PECOS PAC ID: 5496657082
Enrollment ID: O20071201000158 |
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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. Martha N Adigwe-mozia 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 |
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Martha N Adigwe-mozia, NP
14150 Grant St, Suite 78,
Moreno Valley, CA 92553-9114
Ph: (310) 539-5722 | Martha N Adigwe-mozia, NP
40 E Minarets Ave,
Pinedale, CA 93650-1239
Ph: (559) 436-0482 |
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