Dr Ndidiamaka O Obadan, MD,MS in Kennesaw, GA

Dr Ndidiamaka O Obadan, MD,MS is a medicare enrolled "Internal Medicine - Nephrology" physician in Kennesaw, Georgia. Her current practice location is 3105 Creekside Village Dr Nw Ste 801, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 566-4623.

Dr Ndidiamaka O Obadan is licensed to practice in Georgia (license number 84055) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225385248.

Contact Information

	Dr Ndidiamaka O Obadan, MD,MS
	3105 Creekside Village Dr Nw Ste 801, Kennesaw, GA 30144-4218
	(404) 566-4623
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ndidiamaka O Obadan
Gender	Female
Speciality	Internal Medicine - Nephrology
Location	3105 Creekside Village Dr Nw Ste 801, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225385248
Provider Enumeration Date: 08/08/2012
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 4981912847
Enrollment ID: I20171127002106

Medical Identifiers

Medical identifiers for Dr Ndidiamaka O Obadan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225385248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	37945 (South Carolina)	Secondary
207RH0005X	Internal Medicine - Hypertension Specialist	84055 (Georgia)	Secondary
207RN0300X	Internal Medicine - Nephrology	37945 (South Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RN0300X	Internal Medicine - Nephrology	84055 (Georgia)	Primary

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 Ndidiamaka O Obadan allows following entities to bill medicare on her behalf.

Entity Name	24 On Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588613343 PECOS PAC ID: 5698688141 Enrollment ID: O20031111000018

Entity Name	South Carolina Nephrology And Hypertension
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134219223 PECOS PAC ID: 3274436738 Enrollment ID: O20040130000910

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 Ndidiamaka O Obadan 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 Ndidiamaka O Obadan, MD,MS 3105 Creekside Village Dr Nw Ste 801, Kennesaw, GA 30144-4218 Ph: (404) 566-4623	Dr Ndidiamaka O Obadan, MD,MS 3105 Creekside Village Dr Nw Ste 801, Kennesaw, GA 30144-4218 Ph: (404) 566-4623

Reviews and Comments

Internal Medicine Doctors in Kennesaw, GA

Mridula Vinjamuri, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 187 Chastain Rd Ne, Suite 250, Kennesaw, GA 30144 Phone: 770-218-6450
Ahmed Babar, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2985 Mack Dobbs Rd Nw, Kennesaw, GA 30152 Phone: 770-268-4011
Angel M Cobiella, MD MBA Nephrology Medicare: Medicare Enrolled Practice Location: 750 Townpark Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144 Phone: 770-514-5403 Fax: 770-514-5493
Dr. Marshall Fleurant, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 Phone: 770-514-5401 Fax: 617-414-1577
Abhiyan Jung Bista, MD Nephrology Medicare: Medicare Enrolled Practice Location: 129 Mccook Way Nw, Kennesaw, GA 30144 Phone: 404-405-6426
Alfred L Knox Jr., MD Nephrology Medicare: Medicare Enrolled Practice Location: 750 Town Park Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144 Phone: 770-514-5403 Fax: 770-514-5493

Dr Ndidiamaka O Obadan, MD,MS - Medicare Internal Medicine in Kennesaw, GA