Dr Idatonye I Afonya, MD is a
Surgery physician based in Crookston, Minnesota. Dr Idatonye I Afonya is licensed to practice in Minnesota (license number 37277) and his current practice location is 323 S Minnesota St, Crookston, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 281-9553.
NPI number for Dr Idatonye I Afonya is 1598710154 and his current mailing address is 605 Summit Ave, Crookston, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598710154.
Physician's Profile
| Full Name | Dr Idatonye I Afonya |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 323 S Minnesota St, Crookston, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598710154
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 10/25/2012
Medical Identifiers
Medical identifiers for Dr Idatonye I Afonya such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598710154 | NPI | - | NPPES |
| 356713300 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 37277 (Minnesota) | 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 Idatonye I Afonya 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 Idatonye I Afonya, MD
605 Summit Ave,
Crookston, MN 56716-2712
Ph: (218) 281-2921 | Dr Idatonye I Afonya, MD
323 S Minnesota St,
Crookston, MN 56716-1601
Ph: (218) 281-9553 |
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