Dr Jerry Azubuike Okonkwoaguolu, MD is a medicare enrolled "Family Medicine" physician in Lawndale, California. His current practice location is
15603 Hawthorne Blvd, Lawndale, California. You can reach out to his office (for appointments etc.) via phone at
(310) 644-4488.
Dr Jerry Azubuike Okonkwoaguolu is licensed to practice in California (license number A29427) 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 1134239932.
Physician's Profile
| Full Name | Dr Jerry Azubuike Okonkwoaguolu |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 15603 Hawthorne Blvd, Lawndale, California |
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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. |
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Medical Education and Training:
- Dr Jerry Azubuike Okonkwoaguolu attended and graduated from in
NPI Data:
- NPI Number: 1134239932
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 06/03/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jerry Azubuike Okonkwoaguolu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134239932 | NPI | - | NPPES |
| A294270 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | A29427 (California) | Primary |
| 207R00000X | Internal Medicine | A29427 (California) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | A29427 (California) | Secondary |
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 Jerry Azubuike Okonkwoaguolu 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 |
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Dr Jerry Azubuike Okonkwoaguolu, MD
Po Box 425,
Lawndale, CA 90260-0425
Ph: (310) 644-4488 | Dr Jerry Azubuike Okonkwoaguolu, MD
15603 Hawthorne Blvd,
Lawndale, CA 90260-2639
Ph: (310) 644-4488 |
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