Dr Daniel Ezidiegwu Jr, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Odenton, Maryland. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Greater Maryland Pain Management Llc and his current practice location is
1130 Annapolis Rd Ste 100, Odenton, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 672-2255.
Dr Daniel Ezidiegwu Jr is licensed to practice in Maryland (license number H91622) 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 1184159444.
Physician's Profile
Full Name | Dr Daniel Ezidiegwu Jr |
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Gender | Male |
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Speciality | Physical Medicine And Rehabilitation |
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Experience | 8 Years |
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Location | 1130 Annapolis Rd Ste 100, Odenton, Maryland |
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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:
- Dr Daniel Ezidiegwu Jr graduated from medical school in 2017
NPI Data:
- NPI Number: 1184159444
- Provider Enumeration Date: 04/25/2017
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456609304
- Enrollment ID: I20210818002162
Medical Identifiers
Medical identifiers for Dr Daniel Ezidiegwu Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184159444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | H91622 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Greater Maryland Pain Management Llc | 4486881513 | 5 |
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 Daniel Ezidiegwu Jr allows following entities to bill medicare on his behalf.
Entity Name | Greater Maryland Pain Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710312723 PECOS PAC ID: 4486881513 Enrollment ID: O20131218000234 |
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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. Dr Daniel Ezidiegwu Jr 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 Daniel Ezidiegwu Jr, 1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622 Ph: (410) 672-2255 | Dr Daniel Ezidiegwu Jr, 1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622 Ph: (410) 672-2255 |
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