Dr Ifeatu B Enemmuo, PMHNP - Medicare Nurse Practitioner in Fort Jackson Columbia, SC

  1. Home
  2. Nurse Practitioner
  3. SC
  4. Fort Jackson Columbia
Dr Ifeatu B Enemmuo, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Jackson Columbia, South Carolina. Her current practice location is Moncrief Army Health Clinic, 4500 Stuart Road, Fort Jackson Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 751-0455.

Dr Ifeatu B Enemmuo is licensed to practice in California (license number 95011649) 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 1952969008.

Contact Information

Dr Ifeatu B Enemmuo, PMHNP
Moncrief Army Health Clinic, 4500 Stuart Road,
Fort Jackson Columbia, SC 29207
(803) 751-0455
Not Available

Map and Direction




Provider's Profile

Full NameDr Ifeatu B Enemmuo
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
LocationMoncrief Army Health Clinic, Fort Jackson Columbia, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952969008
  • Provider Enumeration Date: 06/04/2019
  • Last Update Date: 06/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9335476779
  • Enrollment ID: I20190808001015

Medical Identifiers

Medical identifiers for Dr Ifeatu B Enemmuo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952969008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95011649 (California)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. Dr Ifeatu B Enemmuo allows following entities to bill medicare on her behalf.
Entity NamePortia Bell Hume Behavioral Health And Training Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760489439
PECOS PAC ID: 0547251688
Enrollment ID: O20040519000374
Entity NameTelecare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720164882
PECOS PAC ID: 6901820380
Enrollment ID: O20070614000167

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. Dr Ifeatu B Enemmuo 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 AddressPractice Location Address
Dr Ifeatu B Enemmuo, PMHNP
680 Pine Lilly Dr,
Columbia, SC 29229-7078

Ph: (925) 642-2039		Dr Ifeatu B Enemmuo, PMHNP
Moncrief Army Health Clinic, 4500 Stuart Road,
Fort Jackson Columbia, SC 29207

Ph: (803) 751-0455

Reviews and Comments


Nurse Practitioner Nurses in Fort Jackson Columbia, SC


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.