Mbonu Nnaji Ikezuagu, MD in Appleton, WI - Medicare Internal Medicine

Mbonu Nnaji Ikezuagu, MD is a medicare enrolled "Internal Medicine" physician in Appleton, Wisconsin. His current practice location is 3925 N Gateway Dr, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 702-6371.

Mbonu Nnaji Ikezuagu is licensed to practice in Wisconsin (license number 81640) 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 1871721696.

Contact Information

	Mbonu Nnaji Ikezuagu, MD
	3925 N Gateway Dr, Appleton, WI 54913-7863
	(920) 702-6371
	Not Available

Map and Direction

Physician's Profile

Full Name	Mbonu Nnaji Ikezuagu
Gender	Male
Speciality	Internal Medicine
Location	3925 N Gateway Dr, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871721696
Provider Enumeration Date: 07/01/2009
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 8527223858
Enrollment ID: I20120711000316

Medical Identifiers

Medical identifiers for Mbonu Nnaji Ikezuagu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871721696	NPI	-	NPPES
0067250	Medicaid	OH
35-099233	Other	OH	OHIO MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35-099233 (Ohio)	Secondary
208M00000X	Hospitalist	81640 (Wisconsin)	Secondary
207R00000X	Internal Medicine	81640 (Wisconsin)	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. Mbonu Nnaji Ikezuagu allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health Physicians-north Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750

Entity Name	Hospitalist Medicine Physicians Of Ohio, Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043572290 PECOS PAC ID: 3779749197 Enrollment ID: O20120730000162

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. Mbonu Nnaji Ikezuagu 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
Mbonu Nnaji Ikezuagu, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 702-6371	Mbonu Nnaji Ikezuagu, MD 3925 N Gateway Dr, Appleton, WI 54913-7863 Ph: (920) 702-6371

Reviews and Comments

Internal Medicine Doctors in Appleton, WI

Daniela C Constantinescu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4414
Dirk Steinert, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037
Mrs. Shannon Leah Schmidt, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-364-3600 Fax: 920-364-3900
Dr. Sanjeevkumar Ashok Patel, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr Ste 1700, Appleton, WI 54911 Phone: 920-734-4773
Gail Mary Mcnutt, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-0070 Fax: 920-831-7936
Dong Bo Yu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-225-1414
Deborah A Ihde, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-731-5811 Fax: 920-738-6293

Mbonu Nnaji Ikezuagu, MD - Medicare Internal Medicine in Appleton, WI