| Mr Festus C Obonna, | |
|
9300 John Hickman Pkwy Ste 904, Frisco, TX 75035-5894 | |
| (865) 696-9226 | |
| Not Available |
| Full Name | Mr Festus C Obonna |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 9300 John Hickman Pkwy Ste 904, Frisco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417457185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 817267 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP143752 (Texas) | Primary |
| Entity Name | Medisol, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003279308 PECOS PAC ID: 0840628392 Enrollment ID: O20200316000738 |
| Entity Name | Excel Psychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558024323 PECOS PAC ID: 2860880705 Enrollment ID: O20211027000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Festus C Obonna, 1608 Shady Grove Ct, Wylie, TX 75098-8144 Ph: (865) 696-9226 | Mr Festus C Obonna, 9300 John Hickman Pkwy Ste 904, Frisco, TX 75035-5894 Ph: (865) 696-9226 |
Dena Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5150 Warren Pkwy Bldg 8, Frisco, TX 75034 Phone: 972-403-8184 | |
Frehiwot Bezuayehu, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2855 Preston Rd, Frisco, TX 75034 Phone: 469-495-9118 Fax: 469-495-0718 | |
Sherryl Yvonne Eisma, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3140 Legacy Dr Ste 310, Frisco, TX 75034 Phone: 972-435-4002 Fax: 972-435-4105 | |
Jillian Nicole Tate, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7777 Warren Pkwy Ste 370, Frisco, TX 75034 Phone: 469-517-3115 Fax: 820-400-3372 | |
Ms. Aditi Rane, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2833 Eldorado Pkwy Ste 307, Frisco, TX 75033 Phone: 972-292-0300 | |
Josephine Nchangnwie Vuchansu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Rutherford St, Frisco, TX 75036 Phone: 240-626-0607 | |
Mary Grace Alip, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12500 Dallas Pkwy Fl 3, Frisco, TX 75033 Phone: 469-604-9000 |