Dr Omoruyi C Irabor, MD, MPH is a medicare enrolled "Radiology - Radiation Oncology" physician in Emporia, Kansas. His current practice location is
1401 W 12th Ave, Emporia, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 342-1117.
Dr Omoruyi C Irabor is licensed to practice in Kansas (license number 04-49497) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750944112.
Physician's Profile
| Full Name | Dr Omoruyi C Irabor |
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| Gender | Male |
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| Speciality | Radiology - Radiation Oncology |
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| Location | 1401 W 12th Ave, Emporia, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750944112
- Provider Enumeration Date: 04/20/2019
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315484540
- Enrollment ID: I20240805003567
Medical Identifiers
Medical identifiers for Dr Omoruyi C Irabor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750944112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | 04-49497 (Kansas) | 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 Omoruyi C Irabor allows following entities to bill medicare on his behalf.
| Entity Name | Central Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578532081
PECOS PAC ID: 7911801014
Enrollment ID: O20031120000823 |
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| Entity Name | Heartland Oncology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487075537
PECOS PAC ID: 9638302342
Enrollment ID: O20150119000740 |
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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 Omoruyi C Irabor 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 Omoruyi C Irabor, MD, MPH
Po Box 256,
Salina, KS 67402-0256
Ph: (785) 823-0633 | Dr Omoruyi C Irabor, MD, MPH
1401 W 12th Ave,
Emporia, KS 66801-2570
Ph: (620) 342-1117 |
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