Edoghogho Stacy Edosonmwan, RN in Dallas, TX - Medicare Nurse Practitioner

Edoghogho Stacy Edosonmwan, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dallas, Texas. Her current practice location is 1350 N Westmoreland Rd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 330-0036.

Edoghogho Stacy Edosonmwan is licensed to practice in Texas (license number 1116542) 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 1356808901.

Contact Information

	Edoghogho Stacy Edosonmwan, RN
	1350 N Westmoreland Rd, Dallas, TX 75211-1654
	(214) 330-0036
	Not Available

Map and Direction

Provider's Profile

Full Name	Edoghogho Stacy Edosonmwan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1350 N Westmoreland Rd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356808901
Provider Enumeration Date: 03/01/2019
Last Update Date: 07/15/2025

Medicare PECOS Information:

PECOS PAC ID: 7911449590
Enrollment ID: I20240611001982

Medical Identifiers

Medical identifiers for Edoghogho Stacy Edosonmwan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356808901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	230297 (Louisiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1116542 (Texas)	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. Edoghogho Stacy Edosonmwan allows following entities to bill medicare on her behalf.

Entity Name	Swla Center For Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720014186 PECOS PAC ID: 9133029853 Enrollment ID: O20040109000902

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. Edoghogho Stacy Edosonmwan 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
Edoghogho Stacy Edosonmwan, RN 1428 E Arlington Ave, Fort Worth, TX 76104-6124 Ph: () -	Edoghogho Stacy Edosonmwan, RN 1350 N Westmoreland Rd, Dallas, TX 75211-1654 Ph: (214) 330-0036

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Edoghogho Stacy Edosonmwan, RN - Medicare Nurse Practitioner in Dallas, TX