Dr Boniface N Ikejiani, MD | |
400 Chaney Rd Apt 516, Smyrna, TN 37167-2654 | |
(615) 738-9953 | |
(615) 551-4163 |
Full Name | Dr Boniface N Ikejiani |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 400 Chaney Rd Apt 516, Smyrna, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477800084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 31438 (Tennessee) | Primary |
207V00000X | Obstetrics & Gynecology | 46215 (Washington) | Secondary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345 |
Mailing Address | Practice Location Address |
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Dr Boniface N Ikejiani, MD 400 Chaney Rd Apt 516, Smyrna, TN 37167-2654 Ph: (615) 738-9953 | Dr Boniface N Ikejiani, MD 400 Chaney Rd Apt 516, Smyrna, TN 37167-2654 Ph: (615) 738-9953 |
Mrs. Kara Mckinney, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 300 Stonecrest Blvd, Smyrna, TN 37167 Phone: 629-225-7692 | |
Afam C Ikejiani, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 301 Wolverine Trl, Suite 200, Smyrna, TN 37167 Phone: 615-459-5228 Fax: 615-459-5370 | |
Angela E Rubley, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 300 Stonecrest Blvd Ste 250, Smyrna, TN 37167 Phone: 615-223-0200 | |
Kimberly N King, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 Stonecrest Blvd, Suite 250, Smyrna, TN 37167 Phone: 615-984-4751 Fax: 615-984-4752 | |
Mr. Edmundo H Yibirin Peluffo, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 301 Wolverine Trail, Suite 202, Smyrna, TN 37167 Phone: 615-801-2087 Fax: 615-462-7062 | |
Louis T Riley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 300 Stonecrest Blvd, Ste 490, Smyrna, TN 37167 Phone: 615-223-0200 Fax: 615-223-8704 |