Mrs Gloria Ozioma Ibezim, FAMILY NURSE PRACT in Rochester, NY

Mrs Gloria Ozioma Ibezim, FAMILY NURSE PRACT is a medicare enrolled "Nurse Practitioner - Family" in Rochester, New York. Her current practice location is 620 Westfall Rd, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 461-8580.

Mrs Gloria Ozioma Ibezim is licensed to practice in New York (license number F08170262) 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 1649529900.

Contact Information

	Mrs Gloria Ozioma Ibezim, FAMILY NURSE PRACT
	620 Westfall Rd, Rochester, NY 14620-4610
	(585) 461-8580
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Gloria Ozioma Ibezim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	620 Westfall Rd, Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649529900
Provider Enumeration Date: 09/02/2012
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 3870926389
Enrollment ID: I20191213000334

Medical Identifiers

Medical identifiers for Mrs Gloria Ozioma Ibezim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649529900	NPI	-	NPPES
1649529900	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	574544 (New York)	Secondary
363L00000X	Nurse Practitioner	F08170262 (New York)	Secondary
364SF0001X	Clinical Nurse Specialist - Family Health	FO8170262 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F08170262 (New York)	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. Mrs Gloria Ozioma Ibezim allows following entities to bill medicare on her behalf.

Entity Name	State Of New York Comptrollers Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800

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 Gloria Ozioma Ibezim 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
Mrs Gloria Ozioma Ibezim, FAMILY NURSE PRACT 3 Amberly Cir, Rochester, NY 14624-2602 Ph: (585) 354-9628	Mrs Gloria Ozioma Ibezim, FAMILY NURSE PRACT 620 Westfall Rd, Rochester, NY 14620-4610 Ph: (585) 461-8580

Reviews and Comments

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Mrs Gloria Ozioma Ibezim, FAMILY NURSE PRACT - Medicare Nurse Practitioner in Rochester, NY