Dr Charles Godfried Otu-nyarko, MD in Shreveport, LA

Dr Charles Godfried Otu-nyarko, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Shreveport, Louisiana. His current practice location is 2508 Bert Kouns Loop, Suite 101, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-5858.

Dr Charles Godfried Otu-nyarko is licensed to practice in Louisiana (license number MD.203819) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245487404.

Contact Information

	Dr Charles Godfried Otu-nyarko, MD
	2508 Bert Kouns Loop, Suite 101, Shreveport, LA 71118-3133
	(318) 212-5858
	(318) 212-5877

Map and Direction

Physician's Profile

Full Name	Dr Charles Godfried Otu-nyarko
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	2508 Bert Kouns Loop, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245487404
Provider Enumeration Date: 08/19/2008
Last Update Date: 05/14/2021

Medicare PECOS Information:

PECOS PAC ID: 3678702503
Enrollment ID: I20140218001710

Medical Identifiers

Medical identifiers for Dr Charles Godfried Otu-nyarko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245487404	NPI	-	NPPES
2107259	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	125.052705 (Illinois)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	MD.203819 (Louisiana)	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. Dr Charles Godfried Otu-nyarko allows following entities to bill medicare on his behalf.

Entity Name	Ochsner Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513

Entity Name	Louisiana State University Health Sciences Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275

Entity Name	Wk Center For Pediatric Gastroenterology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720620784 PECOS PAC ID: 6608204920 Enrollment ID: O20200320001157

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. Dr Charles Godfried Otu-nyarko 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
Dr Charles Godfried Otu-nyarko, MD 2508 Bert Kouns Loop, Suite 101, Shreveport, LA 71118-3133 Ph: (318) 212-5858	Dr Charles Godfried Otu-nyarko, MD 2508 Bert Kouns Loop, Suite 101, Shreveport, LA 71118-3133 Ph: (318) 212-5858

Reviews and Comments

Pediatrics Doctors in Shreveport, LA

Shaheena Anene, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Uday Kumar Chalwadi, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Lea Bonifacio Penales, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118 Phone: 318-212-5970 Fax: 318-212-5975
Marco Quispe Leveau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000
Amanda Bradshaw Raney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7045 Youree Dr, Shreveport, LA 71105 Phone: 318-798-3763 Fax: 318-797-0645
Martha M Whyte, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-227-4658 Fax: 318-424-6606
Dr. Stephanie Boyd Henson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Fairfield Ave, Suite 201, Shreveport, LA 71101 Phone: 318-848-2810 Fax: 318-848-2815

Dr Charles Godfried Otu-nyarko, MD - Medicare Pediatrics in Shreveport, LA