| Gideon Ibe Ahanonu, FNP | |
|
9550 Forest Ln Ste 619, Dallas, TX 75243-2613 | |
| (972) 439-5208 | |
| (877) 800-4032 |
| Full Name | Gideon Ibe Ahanonu |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 9550 Forest Ln Ste 619, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336623446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP138700 (Texas) | Primary |
| Entity Name | Hephzibah Visiting Clinicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083101075 PECOS PAC ID: 1254688641 Enrollment ID: O20180717000196 |
| Entity Name | Advanced Wound Care Of North Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366908600 PECOS PAC ID: 7315276599 Enrollment ID: O20190913000101 |
| Entity Name | Atrium House Call Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659914539 PECOS PAC ID: 6305230327 Enrollment ID: O20220308001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Gideon Ibe Ahanonu, FNP 9550 Forest Ln Ste 619, Dallas, TX 75243-2613 Ph: (972) 439-5208 | Gideon Ibe Ahanonu, FNP 9550 Forest Ln Ste 619, Dallas, TX 75243-2613 Ph: (972) 439-5208 |
Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020 | |
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855 | |
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173 | |
Christina Hagood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017 | |
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135 | |
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112 | |
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000 |