Ekenechi Ezeanolue, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Henrietta, New York. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
250 Lucius Gordon Dr Ste 2, West Henrietta, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 471-3407.
Ekenechi Ezeanolue is licensed to practice in New York (license number 406102) 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 1912734682.
Provider's Profile
| Full Name | Ekenechi Ezeanolue |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 250 Lucius Gordon Dr Ste 2, West Henrietta, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ekenechi Ezeanolue graduated from nursing school in 2024
NPI Data:
- NPI Number: 1912734682
- Provider Enumeration Date: 09/17/2024
- Last Update Date: 02/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 6305352964
- Enrollment ID: I20250721002759
Medical Identifiers
Medical identifiers for Ekenechi Ezeanolue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912734682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 406102 (New York) | Primary |
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. Ekenechi Ezeanolue 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 |
|---|
Ekenechi Ezeanolue,
250 Lucius Gordon Dr Ste 2,
West Henrietta, NY 14586-9662
Ph: (585) 471-3407 | Ekenechi Ezeanolue,
250 Lucius Gordon Dr Ste 2,
West Henrietta, NY 14586-9662
Ph: (585) 471-3407 |
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