Nkiruka J Udejiofor, MD in Kennesaw, GA - Medicare Family Medicine

Nkiruka J Udejiofor, MD is a medicare enrolled "Family Medicine" physician in Kennesaw, Georgia. Her current practice location is 750 Town Park Lane, Kaiser Permanenle Town Park Comprehensive Medical Cente, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 514-5401.

Nkiruka J Udejiofor is licensed to practice in Georgia (license number 059340) 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 1952496770.

Contact Information

	Nkiruka J Udejiofor, MD
	750 Town Park Lane, Kaiser Permanenle Town Park Comprehensive Medical Cente, Kennesaw, GA 30144
	(770) 514-5401
	Not Available

Map and Direction

Physician's Profile

Full Name	Nkiruka J Udejiofor
Gender	Female
Speciality	Family Medicine
Location	750 Town Park Lane, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952496770
Provider Enumeration Date: 10/04/2006
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5193827236
Enrollment ID: I20110221000728

Medical Identifiers

Medical identifiers for Nkiruka J Udejiofor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952496770	NPI	-	NPPES
003104939A	Medicaid	GA
GA1145	Medicaid	SC
P00924822	Other	GA	RR MEDICARE
003104939B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01061199A (Indiana)	Secondary
207Q00000X	Family Medicine	059340 (Georgia)	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. Nkiruka J Udejiofor allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Nkiruka J Udejiofor 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
Nkiruka J Udejiofor, MD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 504-5678	Nkiruka J Udejiofor, MD 750 Town Park Lane, Kaiser Permanenle Town Park Comprehensive Medical Cente, Kennesaw, GA 30144 Ph: (770) 514-5401

Reviews and Comments

Family Medicine Doctors in Kennesaw, GA

Esther M. Motlhatlhedi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 750 Town Park Lane, Paiser Permanente Town Park Medical Office-dept Of Ambu, Kennesaw, GA 30144 Phone: 908-337-3212
Dr. Maria A Schiaffino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Town Park Lane, Kennesaw, GA 30144 Phone: 770-514-5504
Dr. Sharmila Ramprasad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3104 Creekside Village Dr Nw, Suite 201, Kennesaw, GA 30144 Phone: 770-627-3986 Fax: 770-872-0517
Dr. Nikia Lynette Garland, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 Phone: 770-514-5401
Dr. Mildred Joann Santorufo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1275 Shiloh Rd Nw Ste 2051, Kennesaw, GA 30144 Phone: 678-737-4863 Fax: 706-222-4016
Dr. William Godfrey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144 Phone: 770-422-0064
Nihinlolawa Oreoluwa Ijamakinwa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2481 George Busbee Pkwy Nw, Kennesaw, GA 30144 Phone: 770-423-0000 Fax: 770-423-0131

Nkiruka J Udejiofor, MD - Medicare Family Medicine in Kennesaw, GA