Eziaku Jennifer Oliver, DR is a medicare enrolled "Nurse Practitioner - Family" in Parker, Texas. Her current practice location is
7308 Forest Bend Dr, Parker, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 922-4510.
Eziaku Jennifer Oliver is licensed to practice in Texas (license number AP140033) 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 1205641073.
Provider's Profile
| Full Name | Eziaku Jennifer Oliver |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 7308 Forest Bend Dr, Parker, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1205641073
- Provider Enumeration Date: 02/10/2025
- Last Update Date: 02/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153417027
- Enrollment ID: I20250320002178
Medical Identifiers
Medical identifiers for Eziaku Jennifer Oliver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205641073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP140033 (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. Eziaku Jennifer Oliver allows following entities to bill medicare on her behalf.
| Entity Name | Havilah Mobile Wound Healing Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1730984428
PECOS PAC ID: 2264954189
Enrollment ID: O20250320002105 |
|---|
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. Eziaku Jennifer Oliver 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 |
|---|
Eziaku Jennifer Oliver, DR
7308 Forest Bend Dr,
Parker, TX 75002-6817
Ph: (972) 922-4510 | Eziaku Jennifer Oliver, DR
7308 Forest Bend Dr,
Parker, TX 75002-6817
Ph: (972) 922-4510 |
Reviews and Comments