Chidubem Iloabachie, MD is a medicare enrolled "Emergency Medicine" physician in Bayside, New York. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is
20415 45th Dr, Bayside, New York. You can reach out to his office (for appointments etc.) via phone at
(917) 991-3860.
Chidubem Iloabachie is licensed to practice in New York (license number 285542) 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 1639435340.
Physician's Profile
Full Name | Chidubem Iloabachie |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 13 Years |
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Location | 20415 45th Dr, Bayside, New York |
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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. |
Medical Education and Training:
- Chidubem Iloabachie attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2012
NPI Data:
- NPI Number: 1639435340
- Provider Enumeration Date: 04/06/2012
- Last Update Date: 12/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 4284883463
- Enrollment ID: I20161003000339
Medical Identifiers
Medical identifiers for Chidubem Iloabachie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639435340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 285542 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
North Shore - Lij Medical Pc | 3375701568 | 5120 |
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. Chidubem Iloabachie allows following entities to bill medicare on his behalf.
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
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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. Chidubem Iloabachie 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 |
Chidubem Iloabachie, MD 20415 45th Dr, Bayside, NY 11361-3114 Ph: (917) 991-3860 | Chidubem Iloabachie, MD 20415 45th Dr, Bayside, NY 11361-3114 Ph: (917) 991-3860 |
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