Ann Omorovbiye Idemundia-bryant, MD is a medicare enrolled "Hospitalist" physician in Tahlequah, Oklahoma. Her current practice location is
100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 458-3100.
Ann Omorovbiye Idemundia-bryant is licensed to practice in Oklahoma (license number 38908) 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 1235233545.
Physician's Profile
Full Name | Ann Omorovbiye Idemundia-bryant |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 100 S Bliss Ave, Tahlequah, Oklahoma |
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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: 1235233545
- Provider Enumeration Date: 09/08/2006
- Last Update Date: 08/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860468071
- Enrollment ID: I20140612002381
Medical Identifiers
Medical identifiers for Ann Omorovbiye Idemundia-bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235233545 | NPI | - | NPPES |
321114199A | Medicaid | GA | |
373267 | Other | GA | AETNA |
589412 | Other | GA | BCBS - LMAC |
894211 | Other | GA | BCBS - EAPC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | CP134 (Nebraska) | Secondary |
208M00000X | Hospitalist | 38908 (Oklahoma) | 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. Ann Omorovbiye Idemundia-bryant allows following entities to bill medicare on her behalf.
Entity Name | Valley Childrens Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
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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. Ann Omorovbiye Idemundia-bryant 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 |
Ann Omorovbiye Idemundia-bryant, MD Po Box 92, Smithville, MO 64089-0092 Ph: (229) 376-1335 | Ann Omorovbiye Idemundia-bryant, MD 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3100 |
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