Ifeoma Cynthia Emenike, is a medicare enrolled "Psychoanalyst" provider in San Bernardino, California. Her current practice location is
658 Brier Dr Ste 200, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 501-0741.
Ifeoma Cynthia Emenike is licensed to practice in NU (license number ) 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 1164832861.
Healthcare Provider's Profile
| Full Name | Ifeoma Cynthia Emenike |
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| Gender | Female |
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| Speciality | Psychoanalyst |
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| Location | 658 Brier Dr Ste 200, San Bernardino, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164832861
- Provider Enumeration Date: 05/02/2014
- Last Update Date: 07/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 5991147894
- Enrollment ID: I20240523001649
Medical Identifiers
Medical identifiers for Ifeoma Cynthia Emenike such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164832861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (NU) | Secondary |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 106H00000X | Marriage & Family Therapist | 127650 (California) | Secondary |
| 102L00000X | Psychoanalyst | (NU) | 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. Ifeoma Cynthia Emenike allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. Ifeoma Cynthia Emenike 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 |
Ifeoma Cynthia Emenike, 658 Brier Dr Ste 200, San Bernardino, CA 92415-9730 Ph: Not Available | Ifeoma Cynthia Emenike, 658 Brier Dr Ste 200, San Bernardino, CA 92415-5303 Ph: (909) 501-0741 |
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