Mrs Phillipa Ifeoma Modebelu, RN/NP in Grapevine, TX

Mrs Phillipa Ifeoma Modebelu, RN/NP is a medicare enrolled "Nurse Practitioner - Family" in Grapevine, Texas. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Texas Llc and her current practice location is 3701 Ira E Woods Ave, Grapevine, Texas. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Phillipa Ifeoma Modebelu is licensed to practice in Texas (license number 832072) 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 1053647461.

Contact Information

	Mrs Phillipa Ifeoma Modebelu, RN/NP
	3701 Ira E Woods Ave, Grapevine, TX 76051-4213
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Phillipa Ifeoma Modebelu
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	3701 Ira E Woods Ave, Grapevine, Texas
Accepts Medicare Assignments	Yes. 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 Phillipa Ifeoma Modebelu graduated from nursing school in 2009

NPI Data:

NPI Number: 1053647461
Provider Enumeration Date: 10/20/2009
Last Update Date: 04/13/2020

Medicare PECOS Information:

PECOS PAC ID: 6305975277
Enrollment ID: I20130809000081

Medical Identifiers

Medical identifiers for Mrs Phillipa Ifeoma Modebelu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053647461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP123412 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	RN233973 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	832072 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minuteclinic Diagnostic Of Texas Llc	7416039177	283

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 Phillipa Ifeoma Modebelu allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Texas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609076330 PECOS PAC ID: 7416039177 Enrollment ID: O20080204000113

Entity Name	Minuteclinic Telehealth Services Of Texas Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922564301 PECOS PAC ID: 8921437427 Enrollment ID: O20200404000028

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 Phillipa Ifeoma Modebelu 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 Phillipa Ifeoma Modebelu, RN/NP 3701 Ira E Woods Ave, Grapevine, TX 76051-4213 Ph: (866) 389-2727	Mrs Phillipa Ifeoma Modebelu, RN/NP 3701 Ira E Woods Ave, Grapevine, TX 76051-4213 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Grapevine, TX

Mrs. Evelyn Carol Ting, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1054 Texan Trail, Suite 100, Grapevine, TX 76051 Phone: 817-424-2113 Fax: 817-439-6839
Cassidy Sklar, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4109 Heartstone Dr, Grapevine, TX 76051 Phone: 817-932-2026
Tiffany Marie Woods, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 N Park Blvd Ste 114, Grapevine, TX 76051 Phone: 817-488-7771
Kimberly Loraine Kammerer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Lancaster Dr Ste 10b, Grapevine, TX 76051 Phone: 817-576-6665
Deborah Vaughan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1602 Lancaster Dr, Suite 102, Grapevine, TX 76051 Phone: 817-329-8364 Fax: 817-329-1285
Ronald G Kimmel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Ira E Woods Ave, Ste. 600, Grapevine, TX 76051 Phone: 817-488-9991

Mrs Phillipa Ifeoma Modebelu, RN/NP - Medicare Nurse Practitioner in Grapevine, TX