Obinna I Maduka, MD in North Windham, CT

Obinna I Maduka, MD is a medicare enrolled "Pediatrics" physician in North Windham, Connecticut. His current practice location is 387 Tuckie Rd Ste C, North Windham, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 456-1279.

Obinna I Maduka is licensed to practice in Connecticut (license number 037518) 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 1710065917.

Contact Information

	Obinna I Maduka, MD
	387 Tuckie Rd Ste C, North Windham, CT 06256-1355
	(860) 456-1279
	(860) 456-1298

Map and Direction

Physician's Profile

Full Name	Obinna I Maduka
Gender	Male
Speciality	Pediatrics
Location	387 Tuckie Rd Ste C, North Windham, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710065917
Provider Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6002846409
Enrollment ID: I20050817000185

Medical Identifiers

Medical identifiers for Obinna I Maduka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710065917	NPI	-	NPPES
001375189	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	037518 (Connecticut)	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. Obinna I Maduka allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Obinna I Maduka 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
Obinna I Maduka, MD 387 Tuckie Rd Ste C, North Windham, CT 06256-1355 Ph: (860) 456-1279	Obinna I Maduka, MD 387 Tuckie Rd Ste C, North Windham, CT 06256-1355 Ph: (860) 456-1279

Obinna I Maduka, MD - Medicare Pediatrics in North Windham, CT