Ekenedilichukwu Ezenwaka, NP in Stockton, CA - Medicare Nurse Practitioner

Ekenedilichukwu Ezenwaka, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Stockton, California. His current practice location is 7707 Austin Rd, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 467-8655.

Ekenedilichukwu Ezenwaka is licensed to practice in California (license number 95030565) 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 1669215000.

Contact Information

	Ekenedilichukwu Ezenwaka, NP
	7707 Austin Rd, Stockton, CA 95215-8312
	(209) 467-8655
	Not Available

Map and Direction

Provider's Profile

Full Name	Ekenedilichukwu Ezenwaka
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	7707 Austin Rd, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669215000
Provider Enumeration Date: 06/14/2024
Last Update Date: 06/14/2024

Medicare PECOS Information:

PECOS PAC ID: 2567983851
Enrollment ID: I20250303002389

Medical Identifiers

Medical identifiers for Ekenedilichukwu Ezenwaka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669215000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95030565 (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. Ekenedilichukwu Ezenwaka allows following entities to bill medicare on his behalf.

Entity Name	Cep America - Psychiatry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538757232 PECOS PAC ID: 0244522159 Enrollment ID: O20160713002860

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. Ekenedilichukwu Ezenwaka 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
Ekenedilichukwu Ezenwaka, NP 6713 Sao Tiago Way, Elk Grove, CA 95757-3435 Ph: (323) 973-6970	Ekenedilichukwu Ezenwaka, NP 7707 Austin Rd, Stockton, CA 95215-8312 Ph: (209) 467-8655

Reviews and Comments

Nurse Practitioner Nurses in Stockton, CA

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Mrs. Deborah Kay Hastie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907
Mrs. Ketty Ukpong Uweh, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204 Phone: 209-244-9191 Fax: 209-244-9190
Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051
Lisa Hansen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Suite #1, Stockton, CA 95207 Phone: 209-478-2622 Fax: 209-870-2754

Ekenedilichukwu Ezenwaka, NP - Medicare Nurse Practitioner in Stockton, CA