Dr Primus Mbawuike, MD is a medicare enrolled "General Practice" physician in Fordyce, Arkansas. His current practice location is
201 N Clifton St, Fordyce, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 352-6300.
Dr Primus Mbawuike is licensed to practice in Arkansas (license number E-13277) 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 1487008793.
Physician's Profile
Full Name | Dr Primus Mbawuike |
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Gender | Male |
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Speciality | General Practice |
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Location | 201 N Clifton St, Fordyce, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487008793
- Provider Enumeration Date: 04/22/2016
- Last Update Date: 08/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082083118
- Enrollment ID: I20221213001934
Medical Identifiers
Medical identifiers for Dr Primus Mbawuike such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487008793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | E-13277 (Arkansas) | Secondary |
208M00000X | Hospitalist | E-13277 (Arkansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208D00000X | General Practice | E-13277 (Arkansas) | 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 Primus Mbawuike allows following entities to bill medicare on his behalf.
Entity Name | Arkansas Emergency Staffing Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
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Entity Name | Ess Hospitalist Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120308000726 |
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Entity Name | Hospital Care Consultants Of Fordyce Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
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Entity Name | Ess Of Fordyce Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
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Entity Name | Hcc Of Warren Hospitalist, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326641606 PECOS PAC ID: 5698189280 Enrollment ID: O20210121002187 |
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Entity Name | Hcc Of Warren Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952904237 PECOS PAC ID: 6406260371 Enrollment ID: O20210204001426 |
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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 Primus Mbawuike 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 Primus Mbawuike, MD 13200 Chenal Pkwy, Apt 221, Little Rock, AR 72211-5388 Ph: (314) 210-2075 | Dr Primus Mbawuike, MD 201 N Clifton St, Fordyce, AR 71742-3026 Ph: (870) 352-6300 |
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