Kelechi Ego-osuala, is a medicare enrolled "Family Medicine" physician in Riverdale, Maryland. His current practice location is
5305 Kenilworth Ave, Riverdale, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 277-7110.
Kelechi Ego-osuala is licensed to practice in Maryland (license number D0095010) 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 1841856499.
Physician's Profile
Full Name | Kelechi Ego-osuala |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 5305 Kenilworth Ave, Riverdale, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841856499
- Provider Enumeration Date: 05/18/2019
- Last Update Date: 09/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 3173850708
- Enrollment ID: I20221207002675
Medical Identifiers
Medical identifiers for Kelechi Ego-osuala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841856499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | D0095010 (Maryland) | 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. Kelechi Ego-osuala allows following entities to bill medicare on his behalf.
Entity Name | Edge Family Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801517453 PECOS PAC ID: 9133598592 Enrollment ID: O20221207002490 |
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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. Kelechi Ego-osuala 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 |
Kelechi Ego-osuala, 5305 Kenilworth Ave, Riverdale, MD 20737-3101 Ph: () - | Kelechi Ego-osuala, 5305 Kenilworth Ave, Riverdale, MD 20737-3101 Ph: (301) 277-7110 |
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