Mercie Health || Psychiatric Mental Health & Medical Services
Dr. Sylvia Udokoro Nwakanma, DNP, FNP-C, PMHNP-BC
UMASS-G
General Medicine/Psychiatric Mental Health & Wellness Services
Pronunciation:
Udokoro - ooh-Doe-Koh-Row
Nwakanma - WAKAMA
***** VIRTUAL HOURS: M-F 9AM-2PM CST *****
(expect delays to messages outside these hours). Rx Requests will be addressed quicker (except compounded orders see below for compounding Rx Request process)
***COMPOUNDING for CA Residents now available* Message for more info
●Licensed to service in these locations at this time:
AZ, CA, CO, CT, DE, GA, FL, IA, IL, LA, MA, MI, MT, NM, OK, OR, NY, TX, UT, WA
Enter Code: SYLVIAPUSH when registering on pushhealth.com
or use direct link
https://www.pushhealth.com/practices/16701/new-patients/sylviapush
**** THIS PORTAL DOES NOT ACCEPT INSURANCE. MEDICAID/Kaiser I am out of network so your Rx will not be covered by your insurance company.
**** I do not complete PAs for GIP/GLP meds for diabetes unless you can provide medical record to support your diagnosis or follow-up with your PCP. Your insurance is insisting on records to support your STATED diagnosis. Thank you for understanding.
¥ - When status shows "UNAVAILABLE" it means i am not AVAILABLE to attend to you TEMPORARILY (sleeping, on vacation, SICK, attending other life matters, etc). so seek emergency care if needed! Dial 911 on your phone or go to ER/Urgent care). for all other requests, please expect delays with response to Rx request from dashboard and longer delays with response to messages. I appreciate your understanding
****** ******* ******* H. E. L. L. O. ****** ******* *******
It is recommended that you check dose in stock with preferred pharmacy before requesting for refill. Once Rx sent, cannot be changed without requesting for a new Rx from dashboard, and pay a new fee. Rx isn’t “lost”. Pharmacy can keep it on hold until available. Ask for their hold policy. All requests (except compounded Rx ) should be sent from your dashboard . State the dose you are requesting for, and how many days you want approved for.
Request for more than 90 days MAYBE approved with ADDITIONAL INVOICE and CANNOT be credited or exchanged in the event of a low/no stock. So please be absolutely sure this is what you want. Once an Rx has been sent, that encounter is considered complete. Please do not ask for refunds as i spent time reviewing your requests. Thank you for your understanding
Let’s Get You Well!!!
●●●●●Please rate us 5/5 Stars to serve you better! :)
******* WHAT ****** TO ****** EXPECT ********** 🏥
● Rx Requests: Send ALL Rx request from your dashboard. Include any info pertaining to Rx request or symptoms or updates on your Rx request. THIS IS THE CONSULTATION. If I need any clarifications, i will message you. Otherwise, rx will be approved without any further questions, & Rx will be approved based on my clinical judgment, not just what you are aksing for. For more than 1 request, send additional request from dashboard.
● Phone/video consultations: are additional fees. May discuss option for insurance through Mercie Health depending on request (GLP medical weightloss/mental health). see www.merciehealth.com for list of insurance in network.
● Message response: Please allow for 48 hrs for response to messages and 48-72 hours if messages are sent Friday through Sunday. Thank you for your patience.
● Messages: Do not send messages requesting for Rx. Address this on your Rx request. This is part of the consultation.
● Prior authorizations (PAs): Requests for Prior Authorization or PA is an additional fee in the form of an invoice to get this started. This is not included in your Rx fee. Takes 5-7 BUSINESS Days. Pls be patient. Verbal and paper forms can now be accepted.
● Prior authorizations (PA) turn around time: dependent on insurance. Typically 5-7 business days. I have seen longer than 6mos. Usually just a bad insurance company. I have also seen less than 24hrs. This insurance company believes in life. well. lived. keep it!
● Established Patients: Fees defaults to standard practice fee. Final fee or balance to approve Rx will be charged using an invoice if applicable based on request.
● Rx request approval time: Within 24hrs. Delays may be from needing additional info from incomplete request, or waiting on some clarifications from your pharmacy or waiting on your response to my queries. Therefore, please respond to my message(s). Plan accordingly or seek alternative care if severe case eg ER
● Message response: Please allow for 24 hrs for response to messages and 24-48 hours if messages are sent Friday through Sunday. Thank you for your patience.
● Compounded (NOT recommended BUT I respect your RIGHT to choose :) ) Semaglutide, Tirzepatide and Other compounded meds, membership option available upon request! Will Rx to compounding pharmacy of choice if not part of my current membership pharm to avoid billing errors. This decreases the confusion with pharmacies billing me instead of the pt for the Rx when not on my membership. Hope you can understand. AT this time, no compounding Rx can be shipped to CA residents.
● CANADA 🍁. There are NO MORE OZEMPIC left in CANADA! (as of 2023?) This should NOT be requested from your dashboard without confirming from the Canadian pharmacy.
*****I do not accept insurance through this portal
****** This is a concierge service for SELF PAY services
****** Mental Health Consultation- contact Mercie Health office directly for appointment if you have insurance or open to self pay.
**********************THIS IS IMPORTANT *******************
*If you are on a GLP/GIP med (Zepbound, Mounjaro, Ozempic, Wegovy, Trulicity, Saxenda, rybelsius or victoza) and are experiencing anxiety, depression or suicidal ideation please seek professional help ASAP by dialing 911 or 988 or talk to your mental health provider for evaluation or adjustment of current mental health medications! Your mental health MATTERS too!
~~~~~~~~~~~~~~~~About me 😊~~~~~~~~~~~
Dr. Nwakanma is a dual board-certified nurse practitioner who specializes in family medicine and mental health. She started her career over 12 years ago as a registered nurse and has worked in diverse areas including ICU, Telemetry, Med-surg, Renal, and Hospice. As a Nurse practitioner, she has experience in Family medicine, Psychiatric mental health, Addiction medicine and Men’s health. She obtained her Doctor of Nursing Practice degree from UMASS-Global, in Irvine California, and continues to expand her areas of expertise in Family and Psychiatric mental health.
Dr. Nwakanma believes in ensuring good health, for goodness sake!
This is a virtual service for Non-Emergency Medical and psychiatric care such as Prescription refill, Weight-Loss Program (Non-controlled substance), Strep throat, Minor Headaches and Migraines, IBS, Motion Sickness, GERD, GOUT, Traveling health/Prophylaxis treatment, Acne, Sinus infection, Wrinkles, Insomnia (Non controlled prescription), Hair loss, Toothache/Gum infection, Depression, Quit smoking, High blood pressure, Laboratory tests, Asthma, COPD, Ear infection, Bronchitis, Cholesterol, ED (Erectile dysfunction), Transgender care, BPH,Toe-Nail fungus, Eyelash growth, Scabies, Eczema, Skin rashes, Seasonal Allergies, STD (Cold sores, Genital Herpes, Genital Warts, Chlamydia, Syphilis, Gonorrhea, Trichomoniasis , etc.), UTI treatment, Diabetes, Thyroid, Constipation, Diarrhea, Fever, Nausea / Vomiting, Pink Eye, PrEP, Colo-rectal screening, Yeast infection, QuantiFERON-TB Gold Plus lab test, Drug test, Compounded Rx (must use my membership pharmacy: Requires invoice) and more. Just ask!
This platform does not allow the prescribing of ANY form of controlled substance like pain medications, Ambien, Cough syrups, stimulants (Adderall, Focalin, Vyvanse, Ritalin, Modafinil, adipex or phentermine etc) or benzodiazepines like (Restoril, Xanax, Klonopin, Valium, lorazepam, etc) and HCG (like pregnyl, ovidrel etc) or Testosterone.
Depending on your state, stimulant therapy may require direct consultation at my private practice: Mercie Health. Previous Dx of ADHD record is required to continue treatment. If unable to provide this, a test will be issued for confirmation. Ask for more info on this.