Fortunate Ehi Ovbiagele, M D is a medicare enrolled "Psychiatry & Neurology - Geriatric Psychiatry" physician in Greenville, Alabama. His current practice location is
29 L V Stabler Dr, Greenville, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 383-2249.
Fortunate Ehi Ovbiagele is licensed to practice in Alabama (license number 00022241) 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 1659391456.
Physician's Profile
| Full Name | Fortunate Ehi Ovbiagele |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
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| Location | 29 L V Stabler Dr, Greenville, Alabama |
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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: 1659391456
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 11/17/2008
Medicare PECOS Information:
- PECOS PAC ID: 2860423944
- Enrollment ID: I20080915000605
Medical Identifiers
Medical identifiers for Fortunate Ehi Ovbiagele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659391456 | NPI | - | NPPES |
| 051098107 | Other | AL | BCBS INPATIENT |
| 051550185 | Medicaid | AL | |
| 051098108 | Other | AL | BCBS OUTPATIENT |
| 260050017 | Other | AL | RAILROAD MEDICARE |
| 009942355 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 00022241 (Alabama) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 00022241 (Alabama) | 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. Fortunate Ehi Ovbiagele allows following entities to bill medicare on his behalf.
| Entity Name | The Health Care Authority Of The City Of Greenville - Lv Stabler Hospi |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366427437
PECOS PAC ID: 9436418209
Enrollment ID: O20190102000211 |
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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. Fortunate Ehi Ovbiagele 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 |
|---|
Fortunate Ehi Ovbiagele, M D
Po Box 100242,
Atlanta, GA 30384-0242
Ph: (334) 383-2247 | Fortunate Ehi Ovbiagele, M D
29 L V Stabler Dr,
Greenville, AL 36037-3850
Ph: (334) 383-2249 |
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