Dr Paul Edosa Aifesehi, MD, MPH is a
Student In An Organized Health Care Education/training Program physician based in Fort Worth, Texas. Dr Paul Edosa Aifesehi is licensed to practice in Texas (license number ) and his current practice location is 1301 Pennsylvania Ave, Fort Worth, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 250-3117.
NPI number for Dr Paul Edosa Aifesehi is 1285009050 and his current mailing address is Po Box 858, Hershey, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285009050.
Physician's Profile
| Full Name | Dr Paul Edosa Aifesehi |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1301 Pennsylvania Ave, Fort Worth, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285009050
- Provider Enumeration Date: 12/05/2015
- Last Update Date: 03/22/2021
Medical Identifiers
Medical identifiers for Dr Paul Edosa Aifesehi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285009050 | NPI | - | NPPES |
| 1033559050001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | LT000792 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | P00296 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Texas) | 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 Paul Edosa Aifesehi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Paul Edosa Aifesehi, MD, MPH
Po Box 858,
Hershey, PA 17033-0858
Ph: (800) 243-1455 | Dr Paul Edosa Aifesehi, MD, MPH
1301 Pennsylvania Ave,
Fort Worth, TX 76104-2122
Ph: (817) 250-3117 |
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