Dr Ejikeme Uchenna Nwokolo, MD is a medicare enrolled "Internal Medicine" physician in Stanton, Tennessee. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Baltimore Medical System, Inc. and his current practice location is
17 First Street East, Stanton, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 548-2232.
Dr Ejikeme Uchenna Nwokolo is licensed to practice in Maryland (license number D77814) 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 1457304396.
Physician's Profile
Full Name | Dr Ejikeme Uchenna Nwokolo |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 32 Years |
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Location | 17 First Street East, Stanton, Tennessee |
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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 Ejikeme Uchenna Nwokolo graduated from medical school in 1992
NPI Data:
- NPI Number: 1457304396
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 03/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375554470
- Enrollment ID: I20150827001439
Medical Identifiers
Medical identifiers for Dr Ejikeme Uchenna Nwokolo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457304396 | NPI | - | NPPES |
40592 | Other | TN | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 40592 (Tennessee) | Secondary |
207R00000X | Internal Medicine | D77814 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Baltimore Medical System, Inc. | 5395653455 | 51 |
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 Ejikeme Uchenna Nwokolo allows following entities to bill medicare on his behalf.
Entity Name | Baltimore Medical System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164138152 PECOS PAC ID: 5395653455 Enrollment ID: O20031121000651 |
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Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
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Entity Name | Lifebridge Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318 |
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Entity Name | Lifebridge Primary Care Of North Carroll Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811398175 PECOS PAC ID: 2769709393 Enrollment ID: O20150319001691 |
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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 Ejikeme Uchenna Nwokolo 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 Ejikeme Uchenna Nwokolo, MD 9649 Belair Rd Ste 200, Nottingham, MD 21236-1116 Ph: (410) 256-9340 | Dr Ejikeme Uchenna Nwokolo, MD 17 First Street East, Stanton, TN 38069 Ph: (731) 548-2232 |
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