Ivie Iyore Okunbor, - Medicare Nurse Practitioner in Bridgeport, CT

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Ivie Iyore Okunbor, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bridgeport, Connecticut. Her current practice location is 80 Harral Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (347) 833-9965.

Ivie Iyore Okunbor is licensed to practice in Connecticut (license number 13455) 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 1871330332.

Contact Information

Ivie Iyore Okunbor,
80 Harral Ave,
Bridgeport, CT 06604-3001
(347) 833-9965
(472) 212-2656

Map and Direction




Provider's Profile

Full NameIvie Iyore Okunbor
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location80 Harral Ave, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871330332
  • Provider Enumeration Date: 07/11/2024
  • Last Update Date: 06/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7214463322
  • Enrollment ID: I20241212003473

Medical Identifiers

Medical identifiers for Ivie Iyore Okunbor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871330332NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 13455 (Connecticut)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. Ivie Iyore Okunbor allows following entities to bill medicare on her behalf.
Entity NameLifebridge Community Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922006923
PECOS PAC ID: 4981595618
Enrollment ID: O20040323000475
Entity NameTown Of North Haven
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164513388
PECOS PAC ID: 5799784922
Enrollment ID: O20061215000196
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220512000081

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. Ivie Iyore Okunbor 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 AddressPractice Location Address
Ivie Iyore Okunbor,
80 Harral Ave,
Bridgeport, CT 06604-3001

Ph: (347) 833-9965		Ivie Iyore Okunbor,
80 Harral Ave,
Bridgeport, CT 06604-3001

Ph: (347) 833-9965

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.