Andrea Iyekepolo, in Statesville, NC

Andrea Iyekepolo, is a medicare enrolled "Pediatrics" physician in Statesville, North Carolina. Her current practice location is 129 Sherlock Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 838-8245.

Andrea Iyekepolo is licensed to practice in North Carolina (license number 2022-00851) 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 1285084426.

Contact Information

	Andrea Iyekepolo,
	129 Sherlock Dr, Statesville, NC 28625-1916
	(704) 838-8245
	(704) 924-4282

Map and Direction

Physician's Profile

Full Name	Andrea Iyekepolo
Gender	Female
Speciality	Pediatrics
Location	129 Sherlock Dr, Statesville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285084426
Provider Enumeration Date: 06/19/2016
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 5193011377
Enrollment ID: I20191008002657

Medical Identifiers

Medical identifiers for Andrea Iyekepolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285084426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	EL191038 (Maine)	Secondary
208000000X	Pediatrics	2022-00851 (North Carolina)	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. Andrea Iyekepolo allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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. Andrea Iyekepolo 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
Andrea Iyekepolo, Po Box 1845, Statesville, NC 28687-1845 Ph: (704) 873-4277	Andrea Iyekepolo, 129 Sherlock Dr, Statesville, NC 28625-1916 Ph: (704) 838-8245

Reviews and Comments

Pediatrics Doctors in Statesville, NC

Dr. Jon Ryan Hutchinson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 558 Kitchings Dr, Statesville, NC 28677 Phone: 704-838-8255 Fax: 704-871-9099
Elizabeth Whitley Fickling Rashley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245
Ellyn Pearson Mullis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1022 Shelton Ave, Statesville, NC 28677 Phone: 704-768-2088 Fax: 704-768-2081
Geoffrey Alan Abell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 925 Thomas St Ste A, Statesville, NC 28677 Phone: 704-872-9595 Fax: 704-872-5851
Walter Curtis Gessler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245
Tara Moon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1410 Fern Creek Dr, Statesville, NC 28625 Phone: 704-978-2379 Fax: 704-978-2380

Andrea Iyekepolo, - Medicare Pediatrics in Statesville, NC