Genevieve Ifeanyichukwu, NP in Woodlawn, MD - Medicare Nurse Practitioner

Genevieve Ifeanyichukwu, NP is a medicare enrolled "Nurse Practitioner - Family" in Woodlawn, Maryland. Her current practice location is 6340 Security Blvd Ste B56, Woodlawn, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 531-4264.

Genevieve Ifeanyichukwu is licensed to practice in Maryland (license number R218823) 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 1528750205.

Contact Information

	Genevieve Ifeanyichukwu, NP
	6340 Security Blvd Ste B56, Woodlawn, MD 21207-5173
	(443) 531-4264
	Not Available

Map and Direction

Provider's Profile

Full Name	Genevieve Ifeanyichukwu
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6340 Security Blvd Ste B56, Woodlawn, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528750205
Provider Enumeration Date: 05/22/2023
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 7911356571
Enrollment ID: I20231208001001

Medical Identifiers

Medical identifiers for Genevieve Ifeanyichukwu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528750205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R218823 (Maryland)	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. Genevieve Ifeanyichukwu allows following entities to bill medicare on her behalf.

Entity Name	Optimum Behavioral Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700575677 PECOS PAC ID: 4385005974 Enrollment ID: O20230728002509

Entity Name	Manifest Wellness Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851150833 PECOS PAC ID: 2466994520 Enrollment ID: O20240710001004

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. Genevieve Ifeanyichukwu 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
Genevieve Ifeanyichukwu, NP 6340 Security Blvd Ste B56, Woodlawn, MD 21207-5173 Ph: (443) 531-4264	Genevieve Ifeanyichukwu, NP 6340 Security Blvd Ste B56, Woodlawn, MD 21207-5173 Ph: (443) 531-4264

Reviews and Comments

Nurse Practitioner Nurses in Woodlawn, MD

Loveth Ayiama Eban, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1826 Woodlawn Dr Ste 3&4, Woodlawn, MD 21207 Phone: 410-800-2121
Ms. Cynthia Denise Broadnax, MSN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6660 Security Blvd, Woodlawn, MD 21207 Phone: 443-380-0552

Genevieve Ifeanyichukwu, NP - Medicare Nurse Practitioner in Woodlawn, MD