Theresa Chibuoke, NURSE PRACTITIONER in Southlake, TX

Theresa Chibuoke, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southlake, Texas. Her current practice location is 2131 Kirkwood Blvd Ste 100, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 251-4906.

Theresa Chibuoke is licensed to practice in Texas (license number 1115822) 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 1679251557.

Contact Information

	Theresa Chibuoke, NURSE PRACTITIONER
	2131 Kirkwood Blvd Ste 100, Southlake, TX 76092-1540
	(817) 251-4906
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa Chibuoke
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2131 Kirkwood Blvd Ste 100, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679251557
Provider Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4981042611
Enrollment ID: I20240401001997

Medical Identifiers

Medical identifiers for Theresa Chibuoke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679251557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1115822 (Texas)	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. Theresa Chibuoke allows following entities to bill medicare on her behalf.

Entity Name	Timely Psychiatry And Family Health Np Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659090603 PECOS PAC ID: 8628433414 Enrollment ID: O20230501001269

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. Theresa Chibuoke 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
Theresa Chibuoke, NURSE PRACTITIONER 2131 Kirkwood Blvd, Southlake, TX 76092-1529 Ph: (817) 251-4906	Theresa Chibuoke, NURSE PRACTITIONER 2131 Kirkwood Blvd Ste 100, Southlake, TX 76092-1540 Ph: (817) 251-4906

Reviews and Comments

Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197
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Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104
Heather Mendoza, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775

Theresa Chibuoke, NURSE PRACTITIONER - Medicare Nurse Practitioner in Southlake, TX