Dr Jerry Azubuike Okonkwoaguolu, MD is a medicare enrolled "Family Medicine" physician in Lawndale, California. He went to University Of California, Davis School Of Medicine and graduated in 1974 and has 50 years of diverse experience with area of expertise as Family Practice. 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 | Family Practice |
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| Experience | 50 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 University Of California, Davis School Of Medicine in 1974
NPI Data:
- NPI Number: 1134239932
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 06/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 6204832819
- Enrollment ID: I20070515000220
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 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 Jerry Azubuike Okonkwoaguolu allows following entities to bill medicare on his behalf.
| Entity Name | Centinela Medical Center Of South Bay Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912219635
PECOS PAC ID: 8729219233
Enrollment ID: O20140326002068 |
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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 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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