Ms Irene Imuetiyan Obanor, RN - Medicare Nurse Practitioner in Arcadia, CA

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Ms Irene Imuetiyan Obanor, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Arcadia, California. Her current practice location is 330 E Live Oak Ave, Arcadia, California. You can reach out to her office (for appointments etc.) via phone at (626) 254-1400.

Ms Irene Imuetiyan Obanor is licensed to practice in California (license number 95019425) 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 1598020299.

Contact Information

Ms Irene Imuetiyan Obanor, RN
330 E Live Oak Ave,
Arcadia, CA 91006-5617
(626) 254-1400
(626) 447-4792

Map and Direction




Provider's Profile

Full NameMs Irene Imuetiyan Obanor
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location330 E Live Oak Ave, Arcadia, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598020299
  • Provider Enumeration Date: 07/09/2012
  • Last Update Date: 12/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244697316
  • Enrollment ID: I20230605002153

Medical Identifiers

Medical identifiers for Ms Irene Imuetiyan Obanor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598020299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95019425 (California)Primary
163W00000XRegistered Nurse 793102 (California)Secondary

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. Ms Irene Imuetiyan Obanor allows following entities to bill medicare on her behalf.
Entity NameLos Angeles County Department Of Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083633929
PECOS PAC ID: 7416869896
Enrollment ID: O20031104000319

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. Ms Irene Imuetiyan Obanor 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
Ms Irene Imuetiyan Obanor, RN
4841 N Bender Ave,
Covina, CA 91724-1516

Ph: (626) 254-1400		Ms Irene Imuetiyan Obanor, RN
330 E Live Oak Ave,
Arcadia, CA 91006-5617

Ph: (626) 254-1400

Reviews and Comments


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Ms. Amy Chao, NP
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Phone: 626-254-0074    Fax: 626-254-0079
Joan Elaine Rigdon, N.P.
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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.