Edwan Tifuh Mayo, FNP-BC - Medicare Nurse Practitioner in Henrico, VA

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Edwan Tifuh Mayo, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Henrico, Virginia. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Care Llc, Forecast Medical Practice Llc and her current practice location is 1871 Ivystone Ct, Henrico, Virginia. You can reach out to her office (for appointments etc.) via phone at (218) 207-8373.

Edwan Tifuh Mayo is licensed to practice in Virginia (license number 0024173580) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1508213398.

Contact Information

Edwan Tifuh Mayo, FNP-BC
1871 Ivystone Ct,
Henrico, VA 23238-4213
(218) 207-8373
Not Available

Map and Direction




Provider's Profile

Full NameEdwan Tifuh Mayo
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1871 Ivystone Ct, Henrico, Virginia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edwan Tifuh Mayo graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1508213398
  • Provider Enumeration Date: 05/20/2016
  • Last Update Date: 10/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6608159363
  • Enrollment ID: I20170203001785

Medical Identifiers

Medical identifiers for Edwan Tifuh Mayo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508213398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024173580 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Care Llc004245820061
Forecast Medical Practice Llc80224217002

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. Edwan Tifuh Mayo allows following entities to bill medicare on her behalf.
Entity NameEmergency Medicine Associates, P.a.,p.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376917070
PECOS PAC ID: 8022914522
Enrollment ID: O20031208000283
Entity NameLegacy Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902149776
PECOS PAC ID: 0042458200
Enrollment ID: O20130529000542
Entity NameSoutheastern Intensivist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912942665
PECOS PAC ID: 9335152107
Enrollment ID: O20190131001122
Entity NameAlexandria Springfield Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740529700
PECOS PAC ID: 1052558954
Enrollment ID: O20200115002186
Entity NameForecast Medical Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891391843
PECOS PAC ID: 8022421700
Enrollment ID: O20210120000452
Entity NameLegacy Care Aco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538844857
PECOS PAC ID: 3274996426
Enrollment ID: O20230906000290

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. Edwan Tifuh Mayo 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
Edwan Tifuh Mayo, FNP-BC
1871 Ivystone Ct,
Henrico, VA 23238-4213

Ph: (218) 207-8373		Edwan Tifuh Mayo, FNP-BC
1871 Ivystone Ct,
Henrico, VA 23238-4213

Ph: (218) 207-8373

Reviews and Comments


Nurse Practitioner Nurses in Henrico, VA

Mrs. Ifeoma Nkemdilim Jennifer Elebo, DNP
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Stacey Renae White, AGPCNP
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Mrs. Andrea L. Mayo, NP
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Emily League, PMHNP
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Popel Chan Manev, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 2305 N Parham Rd Ste 201, Henrico, VA 23229
Phone: 804-716-8123    Fax: 804-716-8129
Mrs. Marianna Nutting,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 8006 Discovery Dr Ste 400, Henrico, VA 23229
Phone: 804-256-8282    Fax: 804-256-8288

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.