Adaora Ijeoma Ikeokwu, is a medicare enrolled "Nurse Practitioner - Family" physician in Suwanee, Georgia. Her current practice location is
400 Peachtree Industrial Blvd, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 831-3857.
Adaora Ijeoma Ikeokwu is licensed to practice in Georgia (license number 193176) 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 1245878925.
Physician's Profile
Full Name | Adaora Ijeoma Ikeokwu |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 400 Peachtree Industrial Blvd, Suwanee, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245878925
- Provider Enumeration Date: 12/13/2019
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183012214
- Enrollment ID: I20211022000914
Medical Identifiers
Medical identifiers for Adaora Ijeoma Ikeokwu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245878925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 193176 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 193176 (Georgia) | 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. Adaora Ijeoma Ikeokwu allows following entities to bill medicare on her behalf.
Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
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Entity Name | Tlc Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175 |
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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. Adaora Ijeoma Ikeokwu 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 |
Adaora Ijeoma Ikeokwu, 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: (404) 733-6089 | Adaora Ijeoma Ikeokwu, 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 Ph: (770) 831-3857 |
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