Eziaha Victor Ihediwah, in Forney, TX - Medicare Nurse Practitioner

Eziaha Victor Ihediwah, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Forney, Texas. Her current practice location is 1019 Shackelford Ln, Forney, Texas. You can reach out to her office (for appointments etc.) via phone at (929) 222-8811.

Eziaha Victor Ihediwah is licensed to practice in Texas (license number 1104379) 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 1447965660.

Contact Information

	Eziaha Victor Ihediwah,
	1019 Shackelford Ln, Forney, TX 75126-5096
	(929) 222-8811
	Not Available

Map and Direction

Provider's Profile

Full Name	Eziaha Victor Ihediwah
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1019 Shackelford Ln, Forney, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447965660
Provider Enumeration Date: 01/23/2023
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 2466800057
Enrollment ID: I20231120003078

Medical Identifiers

Medical identifiers for Eziaha Victor Ihediwah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447965660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1104379 (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. Eziaha Victor Ihediwah allows following entities to bill medicare on her behalf.

Entity Name	Solidbase Behavioral Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275311888 PECOS PAC ID: 1557719143 Enrollment ID: O20231120002863

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. Eziaha Victor Ihediwah 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
Eziaha Victor Ihediwah, 1019 Shackelford Ln, Forney, TX 75126-5096 Ph: (929) 222-8811	Eziaha Victor Ihediwah, 1019 Shackelford Ln, Forney, TX 75126-5096 Ph: (929) 222-8811

Reviews and Comments

Nurse Practitioner Nurses in Forney, TX

David Salazar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11632 Nicole Ln, Forney, TX 75126 Phone: 214-486-9820
Kosisochi Ginigeme Ngozi-ibeh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Pinson Rd Ste M, Forney, TX 75126 Phone: 469-977-1300
Ashley Milby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 763 E Us Highway 80 Ste 100, Forney, TX 75126 Phone: 972-564-0711 Fax: 972-564-0323
Mrs. Fawna R. Allen, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 Fm 548 Ste 100, Forney, TX 75126 Phone: 575-652-9799
Fatima Fofana, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1302 Torrington Ln, Forney, TX 75126 Phone: 214-315-4652
Ma Luisa Chua Mirasol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5616 Durst Ln, Forney, TX 75126 Phone: 469-432-7772
Mrs. Misti Dawn Gent, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 713 W Broad St, Suite 100, Forney, TX 75126 Phone: 972-552-3330

Eziaha Victor Ihediwah, - Medicare Nurse Practitioner in Forney, TX