Agbortambeng Enoweyere, in Ada, OK - Medicare Nurse Anesthetist, Certified Registered

Agbortambeng Enoweyere, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ada, Oklahoma. Her current practice location is 430 N Monte Vista St, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 332-2323.

Agbortambeng Enoweyere is licensed to practice in Oklahoma (license number 215732) 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 1831963834.

Contact Information

	Agbortambeng Enoweyere,
	430 N Monte Vista St, Ada, OK 74820-4657
	(580) 332-2323
	Not Available

Map and Direction

Provider's Profile

Full Name	Agbortambeng Enoweyere
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	430 N Monte Vista St, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831963834
Provider Enumeration Date: 11/09/2023
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3870930696
Enrollment ID: I20240328000420

Medical Identifiers

Medical identifiers for Agbortambeng Enoweyere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831963834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	215732 (Oklahoma)	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. Agbortambeng Enoweyere allows following entities to bill medicare on her behalf.

Entity Name	Western Oklahoma Anesthesia Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663

Entity Name	Western Oklahoma Anesthesia Consultants Woodward Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715

Entity Name	Ias Illinois Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20250501002864

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. Agbortambeng Enoweyere 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
Agbortambeng Enoweyere, 4007 Magnolia Ridge Dr, Melissa, TX 75454-0314 Ph: (405) 881-9965	Agbortambeng Enoweyere, 430 N Monte Vista St, Ada, OK 74820-4657 Ph: (580) 332-2323

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ada, OK

Johnny J Sacco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283
Tina S Johnston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980
Mr. Mark E. Bucher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354
Gerald E Joseph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5354
Jerry Gregory, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6258
Carol Lynn Rhoads, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Chickasaw Nation Health System, Ada, OK 74820 Phone: 580-421-6248
Blake Lynn Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Cradduck Rd, Ada, OK 74820 Phone: 405-514-4786 Fax: 405-758-5582

Agbortambeng Enoweyere, - Medicare Nurse Anesthetist, Certified Registered in Ada, OK