Dr Odilichi Ezenwanne, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Tunica, Mississippi. His current practice location is
1820 Peabody St, Tunica, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 363-3656.
Dr Odilichi Ezenwanne is licensed to practice in Wisconsin (license number 67275) 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 1841504206.
Physician's Profile
| Full Name | Dr Odilichi Ezenwanne |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1820 Peabody St, Tunica, Mississippi |
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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 Odilichi Ezenwanne attended and graduated from in
NPI Data:
- NPI Number: 1841504206
- Provider Enumeration Date: 07/27/2010
- Last Update Date: 02/18/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Odilichi Ezenwanne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841504206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 27125 (Mississippi) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 67275 (Wisconsin) | 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 Odilichi Ezenwanne 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 Odilichi Ezenwanne, MD
1820 Peabody St,
Tunica, MS 38676-9441
Ph: (662) 363-3656 | Dr Odilichi Ezenwanne, MD
1820 Peabody St,
Tunica, MS 38676-9441
Ph: (662) 363-3656 |
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