Dr Ikemefuna Ikem Ezedi, DO in San Diego, CA

Dr Ikemefuna Ikem Ezedi, DO is a medicare enrolled "General Practice" physician in San Diego, California. His current practice location is 34800 Bob Wilson Dr Dept Of, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 532-9795.

Dr Ikemefuna Ikem Ezedi is licensed to practice in Virginia (license number 0102204201) 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 1255745626.

Contact Information

	Dr Ikemefuna Ikem Ezedi, DO
	34800 Bob Wilson Dr Dept Of, San Diego, CA 92134-1098
	(619) 532-9795
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ikemefuna Ikem Ezedi
Gender	Male
Speciality	General Practice
Location	34800 Bob Wilson Dr Dept Of, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255745626
Provider Enumeration Date: 06/13/2014
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0941657027
Enrollment ID: I20231110001920

Medical Identifiers

Medical identifiers for Dr Ikemefuna Ikem Ezedi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255745626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0102204201 (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. Dr Ikemefuna Ikem Ezedi allows following entities to bill medicare on his behalf.

Entity Name	Patient First Richmond Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689603748 PECOS PAC ID: 9931011434 Enrollment ID: O20031103000500

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 Ikemefuna Ikem Ezedi 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 Ikemefuna Ikem Ezedi, DO 34800 Bob Wilson Dr Dept Of, San Diego, CA 92134-1098 Ph: (619) 532-9795	Dr Ikemefuna Ikem Ezedi, DO 34800 Bob Wilson Dr Dept Of, San Diego, CA 92134-1098 Ph: (619) 532-9795

Reviews and Comments

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Dr Ikemefuna Ikem Ezedi, DO - Medicare General Practice in San Diego, CA