Ibanga Michael Ekanem, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in New Martinsville, West Virginia. His current practice location is
100 Paducah Dr, New Martinsville, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 455-3611.
Ibanga Michael Ekanem is licensed to practice in West Virginia (license number 19922) 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 1710085824.
Physician's Profile
| Full Name | Ibanga Michael Ekanem |
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| Gender | Male |
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| Speciality | Pediatrics - Adolescent Medicine |
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| Location | 100 Paducah Dr, New Martinsville, West Virginia |
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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: 1710085824
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 04/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880864248
- Enrollment ID: I20110823000622
Medical Identifiers
Medical identifiers for Ibanga Michael Ekanem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710085824 | NPI | - | NPPES |
| 1801553000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080A0000X | Pediatrics - Adolescent Medicine | 19922 (West Virginia) | 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. Ibanga Michael Ekanem allows following entities to bill medicare on his behalf.
| Entity Name | Wetzel County Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518590033
PECOS PAC ID: 4284065400
Enrollment ID: O20200520000593 |
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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. Ibanga Michael Ekanem 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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Ibanga Michael Ekanem, MD
100 Paducah Dr,
New Martinsville, WV 26155
Ph: (304) 455-3611 | Ibanga Michael Ekanem, MD
100 Paducah Dr,
New Martinsville, WV 26155
Ph: (304) 455-3611 |
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