| Chidiebere Iheanacho, | |
|
175 Odell Ln, North Salt Lake, UT 84054-4100 | |
| (801) 867-0632 | |
| Not Available |
| Full Name | Chidiebere Iheanacho |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 175 Odell Ln, North Salt Lake, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598549370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 8326025-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Northeastern Nevada Regional Hospital | Elko, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Adult Services | 0941525273 | 1593 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062 |
| Mailing Address | Practice Location Address |
|---|---|
| Chidiebere Iheanacho, 175 Odell Ln, North Salt Lake, UT 84054-4100 Ph: (801) 867-0632 | Chidiebere Iheanacho, 175 Odell Ln, North Salt Lake, UT 84054-4100 Ph: (801) 867-0632 |
Kristina K Bennett, DNP, FNP-BC, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Ridge Top Cir, North Salt Lake, UT 84054 Phone: 180-181-5102 | |
Lee Kilpack, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 673 Parkway Dr, North Salt Lake, UT 84054 Phone: 435-730-0648 | |
Amy K Wood, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 Cutler Dr Ste 200, North Salt Lake, UT 84054 Phone: 801-854-7347 Fax: 801-992-0100 | |
Patricia Mae Garcia, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 863 Wilstead Dr, North Salt Lake, UT 84054 Phone: 307-421-1638 |