Dr Chisom Mogbo, DO is a
Physical Medicine & Rehabilitation physician based in Sonoma, California. Dr Chisom Mogbo is licensed to practice in California (license number 20A22898) and her current practice location is 1250 Broadway, Sonoma, California. She can be reached at her office (for appointments etc.) via phone at
(949) 371-9773.
NPI number for Dr Chisom Mogbo is 1447887120 and her current mailing address is 1250 Broadway, Sonoma, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447887120.
Physician's Profile
| Full Name | Dr Chisom Mogbo |
|---|
| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1250 Broadway, Sonoma, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447887120
- Provider Enumeration Date: 03/24/2020
- Last Update Date: 09/03/2024
Medical Identifiers
Medical identifiers for Dr Chisom Mogbo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447887120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 20A22898 (California) | Primary |
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 Chisom Mogbo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Chisom Mogbo, DO
1250 Broadway,
Sonoma, CA 95476-7500
Ph: () - | Dr Chisom Mogbo, DO
1250 Broadway,
Sonoma, CA 95476-7500
Ph: (949) 371-9773 |
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