Kanayo K Odeluga, MD, MPH is a medicare enrolled "General Practice" physician in East Chicago, Indiana. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
915 W Chicago Ave, East Chicago, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 397-6000.
Kanayo K Odeluga is licensed to practice in Indiana (license number 01047947) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023173895.
Physician's Profile
| Full Name | Kanayo K Odeluga |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 39 Years |
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| Location | 915 W Chicago Ave, East Chicago, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kanayo K Odeluga graduated from medical school in 1985
NPI Data:
- NPI Number: 1023173895
- Provider Enumeration Date: 12/22/2006
- Last Update Date: 03/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 1850366378
- Enrollment ID: I20100629000826
Medical Identifiers
Medical identifiers for Kanayo K Odeluga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023173895 | NPI | - | NPPES |
| 000000D93250 | Other | | ANTHEM BCBS |
| 036092504 | Other | IL | IL DEPT OF HEALTHCARE & F |
| 080148350 | Other | | PALMETTO GBA MEDI |
| 10593989 | Other | | CAQH |
| 200195020 | Medicaid | IN | |
| 01047947 | Other | IN | LICENSING BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 01047947 (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 036092504 (Illinois) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 01047947 (Indiana) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 036092504 (Illinois) | Secondary |
| 208D00000X | General Practice | 01047947 (Indiana) | Primary |
| 208D00000X | General Practice | 036092504 (Illinois) | Secondary |
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. Kanayo K Odeluga allows following entities to bill medicare on his behalf.
| Entity Name | Chikare Health System Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043375934
PECOS PAC ID: 3678548195
Enrollment ID: O20040828000226 |
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| Entity Name | Chikare Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043375934
PECOS PAC ID: 8729311121
Enrollment ID: O20190618002950 |
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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. Kanayo K Odeluga 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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Kanayo K Odeluga, MD, MPH
915 W Chicago Ave,
East Chicago, IN 46312-3308
Ph: (219) 397-6000 | Kanayo K Odeluga, MD, MPH
915 W Chicago Ave,
East Chicago, IN 46312
Ph: (219) 397-6000 |
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