Chidebe Udeozo, MD | |
300 E Mckay St, Elizabethtown, NC 28337-9037 | |
(910) 862-5500 | |
(910) 862-5501 |
Full Name | Chidebe Udeozo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 300 E Mckay St, Elizabethtown, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316112105 | NPI | - | NPPES |
386175 | Medicaid | SC | |
5918919 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2011-01366 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vidant Roanoke Chowan Hospital | Ahoskie, NC | Hospital |
Cape Fear Valley-bladen County Hospital | Elizabethtown, NC | Hospital |
Vidant Bertie Hospital | Windsor, NC | Hospital |
Vidant Medical Center | Greenville, NC | Hospital |
Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vidant Medical Group Llc | 0345343893 | 850 |
Bladen Healthcare Llc | 6800967969 | 38 |
Entity Name | Cfvhs Ed Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215931589 PECOS PAC ID: 2961316237 Enrollment ID: O20031119000605 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Bladen Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558537282 PECOS PAC ID: 6800967969 Enrollment ID: O20080617000314 |
Entity Name | Unc Physicians Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
Mailing Address | Practice Location Address |
---|---|
Chidebe Udeozo, MD 601 Ramsey St, Suite 200, Fayetteville, NC 28301-4952 Ph: (910) 723-7959 | Chidebe Udeozo, MD 300 E Mckay St, Elizabethtown, NC 28337-9037 Ph: (910) 862-5500 |
Cherie Michelle Inglis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 E Mckay St, Elizabethtown, NC 28337 Phone: 910-862-5500 Fax: 910-862-5501 | |
Olajumoke Ladapo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300a E Mckay St, Elizabethtown, NC 28337 Phone: 910-862-5500 Fax: 910-862-5501 | |
Dr. Robert L Rich Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300a East Mckay Street, Elizabethtown, NC 28337 Phone: 910-862-5500 Fax: 910-862-2107 | |
Dr. Ronald Wade Cottle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 S Owen St, Elizabethtown, NC 28337 Phone: 910-862-2900 Fax: 910-862-2900 |