Dr Kingsley C Odimegwu, PHMNP in Hyattsville, MD

Dr Kingsley C Odimegwu, PHMNP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Hyattsville, Maryland. His current practice location is 6475 New Hampshire Ave, Hyattsville, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 270-0058.

Dr Kingsley C Odimegwu is licensed to practice in District Of Columbia (license number RN1041013) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114763380.

Contact Information

	Dr Kingsley C Odimegwu, PHMNP
	6475 New Hampshire Ave, Hyattsville, MD 20783-3269
	(301) 270-0058
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kingsley C Odimegwu
Gender	Male
Speciality	Registered Nurse - Psychiatric/mental Health
Location	6475 New Hampshire Ave, Hyattsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114763380
Provider Enumeration Date: 07/06/2024
Last Update Date: 07/06/2024

Medicare PECOS Information:

PECOS PAC ID: 4486184355
Enrollment ID: I20250206002708

Medical Identifiers

Medical identifiers for Dr Kingsley C Odimegwu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114763380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN1041013 (District Of Columbia)	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 Kingsley C Odimegwu allows following entities to bill medicare on his behalf.

Entity Name	Prosper Health And Behavioral Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801572722 PECOS PAC ID: 1951764471 Enrollment ID: O20230831002143

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 Kingsley C Odimegwu 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
Dr Kingsley C Odimegwu, PHMNP 4427 7th St Ne, Washington, DC 20017-2208 Ph: () -	Dr Kingsley C Odimegwu, PHMNP 6475 New Hampshire Ave, Hyattsville, MD 20783-3269 Ph: (301) 270-0058

Reviews and Comments

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Dr Kingsley C Odimegwu, PHMNP - Medicare Registered Nurse in Hyattsville, MD