Kingsley C Okonkwo, MD in Odessa, TX

Kingsley C Okonkwo, MD is a medicare enrolled "Pediatrics" physician in Odessa, Texas. His current practice location is 912 E 5th St, Odessa, Texas. You can reach out to his office (for appointments etc.) via phone at (432) 334-8845.

Kingsley C Okonkwo is licensed to practice in Texas (license number P4362) 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 1982732178.

Contact Information

	Kingsley C Okonkwo, MD
	912 E 5th St, Odessa, TX 79761-4605
	(432) 334-8845
	(432) 334-8875

Map and Direction

Physician's Profile

Full Name	Kingsley C Okonkwo
Gender	Male
Speciality	Pediatrics
Location	912 E 5th St, Odessa, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982732178
Provider Enumeration Date: 03/01/2007
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 2860518578
Enrollment ID: I20100929001556

Medical Identifiers

Medical identifiers for Kingsley C Okonkwo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982732178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	4301093606 (Michigan)	Secondary
208000000X	Pediatrics	P4362 (Texas)	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. Kingsley C Okonkwo allows following entities to bill medicare on his behalf.

Entity Name	Roswell Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799

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. Kingsley C 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
Kingsley C Okonkwo, MD 912 E 5th St, Odessa, TX 79761-4605 Ph: (432) 334-8845	Kingsley C Okonkwo, MD 912 E 5th St, Odessa, TX 79761-4605 Ph: (432) 334-8845

Reviews and Comments

Pediatrics Doctors in Odessa, TX

Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797
Randa N. A Othman, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1421 Fax: 432-335-1807
Dr. Venkataramana P. Garikiparthy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5150
Dr. Raul Chavez Valdez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-5270
Manjula Mudduluru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5310 Fax: 432-335-5354

Kingsley C Okonkwo, MD - Medicare Pediatrics in Odessa, TX