Luz Evelyn Omondi, MD in Bridgeport, CT - Medicare Internal Medicine

Luz Evelyn Omondi, MD is a medicare enrolled "Internal Medicine" physician in Bridgeport, Connecticut. Her current practice location is 64 Black Rock Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 579-5000.

Luz Evelyn Omondi is licensed to practice in Connecticut (license number 52250) 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 1912141136.

Contact Information

	Luz Evelyn Omondi, MD
	64 Black Rock Ave, Bridgeport, CT 06605-1200
	(203) 579-5000
	(203) 579-5113

Map and Direction

Physician's Profile

Full Name	Luz Evelyn Omondi
Gender	Female
Speciality	Internal Medicine
Location	64 Black Rock Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912141136
Provider Enumeration Date: 05/01/2009
Last Update Date: 07/30/2013

Medicare PECOS Information:

PECOS PAC ID: 7719129113
Enrollment ID: I20130814000949

Medical Identifiers

Medical identifiers for Luz Evelyn Omondi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912141136	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	52250 (Connecticut)	Primary
208000000X	Pediatrics	52250 (Connecticut)	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. Luz Evelyn Omondi allows following entities to bill medicare on her behalf.

Entity Name	Optimus Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669445946 PECOS PAC ID: 9335051580 Enrollment ID: O20031105000254

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. Luz Evelyn Omondi 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
Luz Evelyn Omondi, MD 64 Black Rock Ave, Bridgeport, CT 06605-1200 Ph: (203) 579-5000	Luz Evelyn Omondi, MD 64 Black Rock Ave, Bridgeport, CT 06605-1200 Ph: (203) 579-5000

Reviews and Comments

Internal Medicine Doctors in Bridgeport, CT

Mitchell Andrew Fogel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 900 Madison Ave, Suite 209, Bridgeport, CT 06606 Phone: 203-335-0195 Fax: 203-335-7293
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Karen A Hutchinson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829

Luz Evelyn Omondi, MD - Medicare Internal Medicine in Bridgeport, CT