Mr Jideofor Ebony Obodozie, MD - Medicare Internal Medicine in Daytona Beach, FL

Mr Jideofor Ebony Obodozie, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Daytona Beach, Florida. His current practice location is 301 Memorial Medical Pkwy, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 231-6000.

Mr Jideofor Ebony Obodozie is licensed to practice in Florida (license number ME165936) 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 1124517289.

Contact Information

Mr Jideofor Ebony Obodozie, MD
301 Memorial Medical Pkwy,
Daytona Beach, FL 32117-5167
(386) 231-6000
Not Available

Map and Direction




Physician's Profile

Full NameMr Jideofor Ebony Obodozie
GenderMale
SpecialityInternal Medicine - Critical Care Medicine
Location301 Memorial Medical Pkwy, Daytona Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124517289
  • Provider Enumeration Date: 05/04/2018
  • Last Update Date: 06/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183033632
  • Enrollment ID: I20210512003285

Medical Identifiers

Medical identifiers for Mr Jideofor Ebony Obodozie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124517289NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2021048898 (Missouri)Secondary
207RC0200XInternal Medicine - Critical Care Medicine ME165936 (Florida)Primary

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. Mr Jideofor Ebony Obodozie 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 AddressPractice Location Address
Mr Jideofor Ebony Obodozie, MD
901 Sterthaus Dr,
Ormond Beach, FL 32174-5133

Ph: () -
Mr Jideofor Ebony Obodozie, MD
301 Memorial Medical Pkwy,
Daytona Beach, FL 32117-5167

Ph: (386) 231-6000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.