Mrs Theodora Chukwudi, FNP - Medicare Nurse Practitioner in Allen Park, MI

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Mrs Theodora Chukwudi, FNP is a medicare enrolled "Nurse Practitioner - Family" in Allen Park, Michigan. Her current practice location is 7445 Allen Rd Ste 270, Allen Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 920-6546.

Mrs Theodora Chukwudi is licensed to practice in Michigan (license number 4704249499) 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 1063005403.

Contact Information

Mrs Theodora Chukwudi, FNP
7445 Allen Rd Ste 270,
Allen Park, MI 48101-1963
(313) 920-6546
(313) 949-5793

Map and Direction




Provider's Profile

Full NameMrs Theodora Chukwudi
GenderFemale
SpecialityNurse Practitioner - Family
Location7445 Allen Rd Ste 270, Allen Park, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063005403
  • Provider Enumeration Date: 02/17/2021
  • Last Update Date: 06/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5890961742
  • Enrollment ID: I20210623002718

Medical Identifiers

Medical identifiers for Mrs Theodora Chukwudi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063005403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704249499 (Michigan)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 Theodora Chukwudi allows following entities to bill medicare on her behalf.
Entity NameDownriver Mental Health Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295866135
PECOS PAC ID: 7911995139
Enrollment ID: O20040505000533
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855
Entity NameSupportive Care I Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548995608
PECOS PAC ID: 9638554298
Enrollment ID: O20220916003011
Entity NamePinnacle Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760252746
PECOS PAC ID: 6305378977
Enrollment ID: O20241021002684

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 Theodora Chukwudi 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 Theodora Chukwudi, FNP
45300 Cherry Hill Rd,
Canton, MI 48187-5073

Ph: () -		Mrs Theodora Chukwudi, FNP
7445 Allen Rd Ste 270,
Allen Park, MI 48101-1963

Ph: (313) 920-6546

Reviews and Comments


Nurse Practitioner Nurses in Allen Park, MI

Melissa Erin Hana, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 15101 Southfield Rd Ste 101, Allen Park, MI 48101
Phone: 313-383-3333    
Eid Tahsine Eid, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 14825 Southfield Rd, Allen Park, MI 48101
Phone: 313-383-7071    
Jazminn Martinez, FNP-C
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Practice Location: 14825 Southfield Rd, Allen Park, MI 48101
Phone: 313-383-7071    
Linsey Lozon, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7445 Allen Rd Ste 210, Allen Park, MI 48101
Phone: 313-388-9552    
Dione Michel Johnson, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15606 Southfield Rd, Allen Park, MI 48101
Phone: 313-216-6200    
Ashley Singh, FNP
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Medicare: Medicare Enrolled
Practice Location: 7445 Allen Rd Ste 250, Allen Park, MI 48101
Phone: 734-282-2800    

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.