Ms Izehi Agenmonmen Eromosele, NP - Medicare Nurse Practitioner in Brooklyn, NY

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Ms Izehi Agenmonmen Eromosele, NP is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. Her current practice location is 539 Vandalia Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 642-3213.

Ms Izehi Agenmonmen Eromosele is licensed to practice in New York (license number 341154) 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 1003124660.

Contact Information

Ms Izehi Agenmonmen Eromosele, NP
539 Vandalia Ave,
Brooklyn, NY 11239-2810
(718) 642-3213
Not Available

Map and Direction




Provider's Profile

Full NameMs Izehi Agenmonmen Eromosele
GenderFemale
SpecialityNurse Practitioner - Family
Location539 Vandalia Ave, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003124660
  • Provider Enumeration Date: 09/16/2010
  • Last Update Date: 06/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8921435579
  • Enrollment ID: I20200221000138

Medical Identifiers

Medical identifiers for Ms Izehi Agenmonmen Eromosele such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003124660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 580957 (New York)Secondary
363LF0000XNurse Practitioner - Family 341154-01 (New York)Secondary
363LF0000XNurse Practitioner - Family 341154 (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. Ms Izehi Agenmonmen Eromosele allows following entities to bill medicare on her behalf.
Entity NameNew York City Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548208127
PECOS PAC ID: 4183535305
Enrollment ID: O20040322001521

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 Izehi Agenmonmen Eromosele 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 Izehi Agenmonmen Eromosele, NP
539 Vandalia Ave,
Brooklyn, NY 11239-2810

Ph: (718) 642-3213		Ms Izehi Agenmonmen Eromosele, NP
539 Vandalia Ave,
Brooklyn, NY 11239-2810

Ph: (718) 642-3213

Reviews and Comments


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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.

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