Mrs Harrieth Amaka Madu, PMHNP in Los Angeles, CA

Mrs Harrieth Amaka Madu, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Angeles, California. Her current practice location is 1720 E 120th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (424) 338-2555.

Mrs Harrieth Amaka Madu is licensed to practice in California (license number NP95017392) 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 1023685021.

Contact Information

	Mrs Harrieth Amaka Madu, PMHNP
	1720 E 120th St, Los Angeles, CA 90059-3052
	(424) 338-2555
	(310) 631-7419

Map and Direction

Provider's Profile

Full Name	Mrs Harrieth Amaka Madu
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1720 E 120th St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023685021
Provider Enumeration Date: 06/08/2021
Last Update Date: 06/08/2021

Medicare PECOS Information:

PECOS PAC ID: 8729479274
Enrollment ID: I20211217000604

Medical Identifiers

Medical identifiers for Mrs Harrieth Amaka Madu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023685021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95017392 (California)	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 Harrieth Amaka Madu allows following entities to bill medicare on her behalf.

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

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 Harrieth Amaka Madu 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 Harrieth Amaka Madu, PMHNP 17633 Sandlake Ave, Carson, CA 90746-1524 Ph: (323) 901-7814	Mrs Harrieth Amaka Madu, PMHNP 1720 E 120th St, Los Angeles, CA 90059-3052 Ph: (424) 338-2555

Reviews and Comments

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Mrs Harrieth Amaka Madu, PMHNP - Medicare Nurse Practitioner in Los Angeles, CA