Ivie Omoruyi, MD in Brooklyn, NY - Medicare Emergency Medicine

Ivie Omoruyi, MD is a medicare enrolled "Emergency Medicine" physician in Brooklyn, New York. Her current practice location is 210 Wyckoff Ave Apt 3r, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at () -.

Ivie Omoruyi is licensed to practice in New York (license number 311622) 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 1790275915.

Contact Information

	Ivie Omoruyi, MD
	210 Wyckoff Ave Apt 3r, Brooklyn, NY 11237-5310
	() -
	Not Available

Map and Direction

Physician's Profile

Full Name	Ivie Omoruyi
Gender	Female
Speciality	Emergency Medicine
Location	210 Wyckoff Ave Apt 3r, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790275915
Provider Enumeration Date: 05/14/2018
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 3971909664
Enrollment ID: I20210903001203

Medical Identifiers

Medical identifiers for Ivie Omoruyi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790275915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	311622 (New York)	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. Ivie Omoruyi allows following entities to bill medicare on her behalf.

Entity Name	Wyckoff Emergency Medicine Services, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154369783 PECOS PAC ID: 9234024852 Enrollment ID: O20040220000796

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. Ivie Omoruyi 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
Ivie Omoruyi, MD 210 Wyckoff Ave Apt 3r, Brooklyn, NY 11237-5310 Ph: (925) 917-0964	Ivie Omoruyi, MD 210 Wyckoff Ave Apt 3r, Brooklyn, NY 11237-5310 Ph: () -

Reviews and Comments

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Ivie Omoruyi, MD - Medicare Emergency Medicine in Brooklyn, NY