Keisha Udorji, APRN in Hollywood, FL - Medicare Nurse Practitioner

Keisha Udorji, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hollywood, Florida. Her current practice location is 3800 S Ocean Dr Ste 209, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (800) 226-8874.

Keisha Udorji is licensed to practice in Florida (license number APRN11026763) 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 1114602695.

Contact Information

	Keisha Udorji, APRN
	3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915
	(800) 226-8874
	Not Available

Map and Direction

Provider's Profile

Full Name	Keisha Udorji
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3800 S Ocean Dr Ste 209, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114602695
Provider Enumeration Date: 06/21/2023
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5597104307
Enrollment ID: I20240412002190

Medical Identifiers

Medical identifiers for Keisha Udorji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114602695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11026763 (Florida)	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. Keisha Udorji allows following entities to bill medicare on her behalf.

Entity Name	Aldor-pulmonary, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417311747 PECOS PAC ID: 9335431816 Enrollment ID: O20160630002076

Entity Name	Qsm-fl, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609318617 PECOS PAC ID: 0648548982 Enrollment ID: O20170609001771

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. Keisha Udorji 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
Keisha Udorji, APRN 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 Ph: (800) 226-8874	Keisha Udorji, APRN 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 Ph: (800) 226-8874

Reviews and Comments

Nurse Practitioner Nurses in Hollywood, FL

Mrs. Thamarre Paulino, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 Washington St Ste 403, Hollywood, FL 33021 Phone: 954-265-3982 Fax: 954-893-6518
Nancy Adrien, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Oakwood Blvd Ste 265, Hollywood, FL 33020 Phone: 786-577-8036
Fiorella Jahaira Saka, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave, Suite 590, Hollywood, FL 33021 Phone: 954-265-9500 Fax: 954-265-1431
Bella Gleiser Mendez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 385, Hollywood, FL 33021 Phone: 954-265-4325
Andrea Annmarie Goulbourne-smith, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7369 Sheridan St Ste 101, Hollywood, FL 33024 Phone: 954-561-6222 Fax: 954-990-7650
Ezequiel Dishmey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 S 63rd Ave, Hollywood, FL 33023 Phone: 754-366-5831
Jose Antonio Picon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Weeping Willow Way, Hollywood, FL 33019 Phone: 954-854-4069

Keisha Udorji, APRN - Medicare Nurse Practitioner in Hollywood, FL