Dr Edidiong Nsidibe Ikpe, MD is a medicare enrolled "Emergency Medicine" physician in Reseda, California. She went to Yale University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is
7236 Amigo Ave, Reseda, California. You can reach out to her office (for appointments etc.) via phone at
(203) 500-5317.
Dr Edidiong Nsidibe Ikpe is licensed to practice in Georgia (license number 065466) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265684716.
Physician's Profile
Full Name | Dr Edidiong Nsidibe Ikpe |
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Gender | Female |
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Speciality | Emergency Medicine |
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Experience | 19 Years |
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Location | 7236 Amigo Ave, Reseda, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Edidiong Nsidibe Ikpe attended and graduated from Yale University School Of Medicine in 2005
NPI Data:
- NPI Number: 1265684716
- Provider Enumeration Date: 10/15/2008
- Last Update Date: 04/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254520083
- Enrollment ID: I20110404000462
Medical Identifiers
Medical identifiers for Dr Edidiong Nsidibe Ikpe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265684716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A99823 (California) | Secondary |
207P00000X | Emergency Medicine | 065466 (Georgia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Southeast Permanente Medical Group | 6204829013 | 660 |
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 Edidiong Nsidibe Ikpe allows following entities to bill medicare on her behalf.
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
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Entity Name | Emory Medical Care Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
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Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
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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 Edidiong Nsidibe Ikpe 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 Edidiong Nsidibe Ikpe, MD 3495 Piedmont Rd Ne, Atlanta, GA 30305-1717 Ph: (404) 365-0966 | Dr Edidiong Nsidibe Ikpe, MD 7236 Amigo Ave, Reseda, CA 91335-8108 Ph: (203) 500-5317 |
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