Obianuju Chinonye Eziolisa, DO in Columbia, MO

Obianuju Chinonye Eziolisa, DO is a medicare enrolled "Emergency Medicine" physician in Columbia, Missouri. Her current practice location is One Hospital Dr, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 882-8091.

Obianuju Chinonye Eziolisa is licensed to practice in Missouri (license number 2023027333) 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 1679033039.

Contact Information

	Obianuju Chinonye Eziolisa, DO
	One Hospital Dr, Columbia, MO 65212-0001
	(573) 882-8091
	(573) 884-1902

Map and Direction

Physician's Profile

Full Name	Obianuju Chinonye Eziolisa
Gender	Female
Speciality	Emergency Medicine
Location	One Hospital Dr, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679033039
Provider Enumeration Date: 03/21/2019
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4587047220
Enrollment ID: I20220813000119

Medical Identifiers

Medical identifiers for Obianuju Chinonye Eziolisa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679033039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	T5883 (Texas)	Secondary
207P00000X	Emergency Medicine	2023027333 (Missouri)	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. Obianuju Chinonye Eziolisa allows following entities to bill medicare on her behalf.

Entity Name	Baylor College Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053352914 PECOS PAC ID: 8224941265 Enrollment ID: O20031106000562

Entity Name	Baylor College Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972

Entity Name	Integrative Emergency Services Physician Group-houston Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208

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. Obianuju Chinonye Eziolisa 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
Obianuju Chinonye Eziolisa, DO Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300	Obianuju Chinonye Eziolisa, DO One Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-8091

Reviews and Comments

Emergency Medicine Doctors in Columbia, MO

Rylee Shawn Duckworth, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994
Dr. Michael Habhab, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212 Phone: 573-884-4400
Michael Hauan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-815-3573 Fax: 314-631-4491
Derek G Hebert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-6003 Fax: 573-884-5410
Dr. Betsy Lynn Borsheski, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-8091 Fax: 573-884-1902
Dylan Carroll, Emergency Medicine Medicare: Medicare Enrolled Practice Location: One Hospital Drive, Suite M562, Columbia, MO 65212 Phone: 573-884-3233 Fax: 573-884-5994
George Jesus Ubinas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994

Obianuju Chinonye Eziolisa, DO - Medicare Emergency Medicine in Columbia, MO