Dr Kasiemobi Bernice Okonkwo, MD in Alton, IL

Dr Kasiemobi Bernice Okonkwo, MD is a medicare enrolled "Family Medicine" physician in Alton, Illinois. Her current practice location is 4 Memorial Dr Ste 210, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 463-5905.

Dr Kasiemobi Bernice Okonkwo is licensed to practice in Illinois (license number 036171380) 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 1891365391.

Contact Information

	Dr Kasiemobi Bernice Okonkwo, MD
	4 Memorial Dr Ste 210, Alton, IL 62002-6704
	(618) 463-5905
	(618) 463-5935

Map and Direction

Physician's Profile

Full Name	Dr Kasiemobi Bernice Okonkwo
Gender	Female
Speciality	Family Medicine
Location	4 Memorial Dr Ste 210, Alton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891365391
Provider Enumeration Date: 06/28/2021
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8628516036
Enrollment ID: I20240816001317

Medical Identifiers

Medical identifiers for Dr Kasiemobi Bernice Okonkwo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891365391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	BP10077024 (Texas)	Secondary
208M00000X	Hospitalist	036171380 (Illinois)	Secondary
207Q00000X	Family Medicine	036171380 (Illinois)	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 Kasiemobi Bernice Okonkwo allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

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 Kasiemobi Bernice Okonkwo 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 Kasiemobi Bernice Okonkwo, MD 4 Memorial Dr Ste 210, Alton, IL 62002-6704 Ph: (618) 463-5905	Dr Kasiemobi Bernice Okonkwo, MD 4 Memorial Dr Ste 210, Alton, IL 62002-6704 Ph: (618) 463-5905

Reviews and Comments

Family Medicine Doctors in Alton, IL

Dr. Juletta Avagyan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216
Dr. Bryan Everett Steele, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935
Puja Gurung, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-433-6616
Mr. William P Robinson Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 815 E 5th Street, Suite 209, Alton, IL 62002 Phone: 618-463-0561 Fax: 618-465-9281
Dr. Anne Ugabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311
Dr. Danny Sarwat Shehata, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311
Dr. Sisay Michael Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 618-474-1723

Dr Kasiemobi Bernice Okonkwo, MD - Medicare Family Medicine in Alton, IL