Ebelosele El-hannan Aigbivbalu, MD in Roseburg, OR

Ebelosele El-hannan Aigbivbalu, MD is a medicare enrolled "Pediatrics" physician in Roseburg, Oregon. Her current practice location is 2700 Nw Stewart Parkway, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 677-2888.

Ebelosele El-hannan Aigbivbalu is licensed to practice in Texas (license number BP10063912) 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 1164918108.

Contact Information

	Ebelosele El-hannan Aigbivbalu, MD
	2700 Nw Stewart Parkway, Roseburg, OR 97471
	(541) 677-2888
	Not Available

Map and Direction

Physician's Profile

Full Name	Ebelosele El-hannan Aigbivbalu
Gender	Female
Speciality	Pediatrics
Location	2700 Nw Stewart Parkway, Roseburg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164918108
Provider Enumeration Date: 07/02/2018
Last Update Date: 06/14/2021

Medicare PECOS Information:

PECOS PAC ID: 5193072213
Enrollment ID: I20210810000745

Medical Identifiers

Medical identifiers for Ebelosele El-hannan Aigbivbalu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164918108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	BP10063912 (Texas)	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. Ebelosele El-hannan Aigbivbalu allows following entities to bill medicare on her behalf.

Entity Name	Centennial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063

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. Ebelosele El-hannan Aigbivbalu 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
Ebelosele El-hannan Aigbivbalu, MD 301 University Blvd, Galveston, TX 77555-0354 Ph: (409) 747-0534	Ebelosele El-hannan Aigbivbalu, MD 2700 Nw Stewart Parkway, Roseburg, OR 97471 Ph: (541) 677-2888

Reviews and Comments

Pediatrics Doctors in Roseburg, OR

Adam Kanafani, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-677-4319 Fax: 541-677-2294
Elise Anne Lippincott, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2570 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-677-7200
Robert Louis Dannenhoffer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596
Dr. Lucinda Jane Dykes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 800-549-8387 Fax: 541-440-1334
Dr. Elizabeth Bish Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Bellwood Ln, Roseburg, OR 97471 Phone: 541-580-0345
Mrs. Cynthia Blinn Steele, MSN, FNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596

Ebelosele El-hannan Aigbivbalu, MD - Medicare Pediatrics in Roseburg, OR