Augusta Uayemen Ikhisemojie, MD is a medicare enrolled "Pain Medicine - Pain Medicine" provider in Riverside, California. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Anesthesiology. Her current practice location is
6485 Day St Ste 305, Riverside, California. You can reach out to her office (for appointments etc.) via phone at
(951) 413-6433.
Augusta Uayemen Ikhisemojie is licensed to practice in California (license number A67133) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457389041.
Healthcare Provider's Profile
| Full Name | Augusta Uayemen Ikhisemojie |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Experience | 36 Years |
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| Location | 6485 Day St Ste 305, Riverside, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Augusta Uayemen Ikhisemojie graduated from medical school in 1988
NPI Data:
- NPI Number: 1457389041
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 09/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 3173590742
- Enrollment ID: I20040913001363
Medical Identifiers
Medical identifiers for Augusta Uayemen Ikhisemojie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457389041 | NPI | - | NPPES |
| 00A671330 | Other | CA | BLUE SHIELD |
| 00A671330 | Medicaid | CA | |
| P1462 | Other | TX | MEDICARE ID - TYPE UNSPECIFIED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | A67133 (California) | Primary |
| 207L00000X | Anesthesiology | A67133 (California) | Secondary |
| 207Q00000X | Family Medicine | P1462 (Texas) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | P1462 (Texas) | 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. Augusta Uayemen Ikhisemojie allows following entities to bill medicare on her behalf.
| Provider Name | Augusta U Ikhisemojie Md A Professional Medical Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1154412963
PECOS PAC ID: 4789760935
Enrollment ID: O20080327000690 |
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| Provider Name | Anesthesia Provider Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1538404256
PECOS PAC ID: 1951544329
Enrollment ID: O20130904000472 |
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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. Augusta Uayemen Ikhisemojie 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 |
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Augusta Uayemen Ikhisemojie, MD
Po Box 60790,
Pasadena, CA 91116-6790
Ph: (626) 795-6596 | Augusta Uayemen Ikhisemojie, MD
6485 Day St Ste 305,
Riverside, CA 92507
Ph: (951) 413-6433 |
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