Nkechi Ezirim, MD | |
420 E 6th St, Odessa, TX 79761-4517 | |
(432) 582-8757 | |
(432) 582-8757 |
Full Name | Nkechi Ezirim |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 420 E 6th St, Odessa, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396009668 | NPI | - | NPPES |
380846102 | Medicaid | TX | |
380846101 | Medicaid | TX | |
73888770 | Medicaid | NM | |
200752300A | Medicaid | OK |
Entity Name | Penn State Health Community Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
Mailing Address | Practice Location Address |
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Nkechi Ezirim, MD 420 E 6th St, Odessa, TX 79761-4517 Ph: (432) 582-8757 | Nkechi Ezirim, MD 420 E 6th St, Odessa, TX 79761-4517 Ph: (432) 582-8757 |
Ghassan N Fanous, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 540 W 5th St, Suite 420, Odessa, TX 79761 Phone: 432-582-2280 Fax: 432-331-9981 | |
Dr. Eliseo Rivera, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8221 San Antonio St, Odessa, TX 79765 Phone: 432-272-4382 Fax: 432-272-4382 | |
Mrs. Kamal Nalin Tolia, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6005 Eastridge Rd, Suite 110, Odessa, TX 79762 Phone: 432-362-3626 Fax: 432-366-3363 | |
Dr. Christopher G Maguire, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-5233 Fax: 432-335-5219 | |
Dr. Christopher Atsaboghena Enakpene, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222 Fax: 432-335-5240 | |
Dr. Jorge D Blanco, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 420 E 6th St Ste 202, Odessa, TX 79761 Phone: 432-582-8757 Fax: 432-582-8928 | |
John Robert Molland, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 601 N Tom Green Ave, Odessa, TX 79761 Phone: 432-334-7888 Fax: 432-334-9949 |