Alexander Chukwuma Ibezi-enendu, DO is a medicare enrolled "Family Medicine" physician in Unadilla, Georgia. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Family Practice. His current practice location is
2809 Pine St, Unadilla, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 355-3000.
Alexander Chukwuma Ibezi-enendu is licensed to practice in Georgia (license number 75636) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154615979.
Physician's Profile
| Full Name | Alexander Chukwuma Ibezi-enendu |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 14 Years |
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| Location | 2809 Pine St, Unadilla, Georgia |
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| Accepts Medicare Assignments | Yes. He 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:
- Alexander Chukwuma Ibezi-enendu attended and graduated from Philadelphia College Of Osteopathic Medicine in 2011
NPI Data:
- NPI Number: 1154615979
- Provider Enumeration Date: 06/09/2011
- Last Update Date: 11/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274832894
- Enrollment ID: I20160706002548
Medical Identifiers
Medical identifiers for Alexander Chukwuma Ibezi-enendu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154615979 | NPI | - | NPPES |
| 003167544B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 5101019441 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 75636 (Georgia) | Primary |
Medical Facilities Affiliation
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. Alexander Chukwuma Ibezi-enendu allows following entities to bill medicare on his behalf.
| Entity Name | Community Primary Care Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336492511
PECOS PAC ID: 0648421065
Enrollment ID: O20121113000274 |
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| Entity Name | Malozera Primary Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912544784
PECOS PAC ID: 4789010430
Enrollment ID: O20200129000718 |
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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. Alexander Chukwuma Ibezi-enendu 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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Alexander Chukwuma Ibezi-enendu, DO
P O Box 8203,
Warner Robins, GA 31095-8203
Ph: (478) 355-3000 | Alexander Chukwuma Ibezi-enendu, DO
2809 Pine St,
Unadilla, GA 31091-7701
Ph: (478) 355-3000 |
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