Mrs Edna Obehi Idehen, NP - Medicare Nurse Practitioner in Concord, NC

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Mrs Edna Obehi Idehen, NP is a medicare enrolled "Nurse Practitioner - Family" in Concord, North Carolina. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifesource Of North Carolina, Lifesource Prime Inc, Lifesource Of North Carolina, Lifesource Prime Inc and her current practice location is 101 Cabarrus Ave E, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (888) 849-7379.

Mrs Edna Obehi Idehen is licensed to practice in South Carolina (license number 21790) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780170571.

Contact Information

Mrs Edna Obehi Idehen, NP
101 Cabarrus Ave E,
Concord, NC 28025-3699
(888) 849-7379
(855) 857-7333

Map and Direction




Provider's Profile

Full NameMrs Edna Obehi Idehen
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location101 Cabarrus Ave E, Concord, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Edna Obehi Idehen graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1780170571
  • Provider Enumeration Date: 07/05/2018
  • Last Update Date: 03/30/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7416200779
  • Enrollment ID: I20181102001627

Medical Identifiers

Medical identifiers for Mrs Edna Obehi Idehen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780170571NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 21790 (South Carolina)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5010620 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 21790 (South Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifesource Of North Carolina7416132428172
Lifesource Prime Inc781033638552
Lifesource Of North Carolina7416132428172
Lifesource Prime Inc781033638552

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. Mrs Edna Obehi Idehen allows following entities to bill medicare on her behalf.
Entity NameLifesource of North Carolina
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811286156
PECOS PAC ID: 7416132428
Enrollment ID: O20110505000743
Entity NameLifesource Prime Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598533275
PECOS PAC ID: 7810336385
Enrollment ID: O20240416003922

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. Mrs Edna Obehi Idehen 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
Mrs Edna Obehi Idehen, NP
101 Cabarrus Ave E,
Concord, NC 28025-3699

Ph: (888) 849-7379		Mrs Edna Obehi Idehen, NP
101 Cabarrus Ave E,
Concord, NC 28025-3699

Ph: (888) 849-7379

Reviews and Comments


Nurse Practitioner Nurses in Concord, NC

Lori Lovett Robinson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025
Phone: 704-403-9050    
Mrs. Laura Hudson Werner, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5225 Poplar Tent Rd, Concord, NC 28027
Phone: 704-782-1727    
Jason K Freeburne, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Cabarrus Ave E, Concord, NC 28025
Phone: 888-849-7379    Fax: 855-857-7333
Temple Britt Byrd, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025
Phone: 888-849-7379    Fax: 855-857-7333
John Emmett Fesperman, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 101 Cabarrus Ave E, Concord, NC 28025
Phone: 888-849-7379    Fax: 855-857-7333
Kimberly Smith Gallagher, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 349 Penny Ln, Concord, NC 28025
Phone: 704-786-7158    
Jennifer Sass, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 202d Mcgill Ave Nw, Concord, NC 28025
Phone: 980-253-6235    

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.