Obiora Ezeudemba, MD in Shelby, NC - Medicare Internal Medicine

Obiora Ezeudemba, MD is a medicare enrolled "Internal Medicine" physician in Shelby, North Carolina. His current practice location is 201 E Grover St, Shelby, North Carolina. You can reach out to his office (for appointments etc.) via phone at (800) 821-1535.

Obiora Ezeudemba is licensed to practice in North Carolina (license number 202401697) 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 1558948778.

Contact Information

	Obiora Ezeudemba, MD
	201 E Grover St, Shelby, NC 28150-3917
	(800) 821-1535
	Not Available

Map and Direction

Physician's Profile

Full Name	Obiora Ezeudemba
Gender	Male
Speciality	Internal Medicine
Location	201 E Grover St, Shelby, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558948778
Provider Enumeration Date: 03/24/2021
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0840739827
Enrollment ID: I20240822003124

Medical Identifiers

Medical identifiers for Obiora Ezeudemba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558948778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	202401697 (North Carolina)	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. Obiora Ezeudemba allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Hospitalist Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378

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. Obiora Ezeudemba 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
Obiora Ezeudemba, MD 2800 Main St Dept Of, Bridgeport, CT 06606-4201 Ph: (475) 210-5791	Obiora Ezeudemba, MD 201 E Grover St, Shelby, NC 28150-3917 Ph: (800) 821-1535

Reviews and Comments

Internal Medicine Doctors in Shelby, NC

Renee B. Melton-smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 Schenck St, Ste 2, Shelby, NC 28150 Phone: 980-487-2540
Kyle Anthony Aldinger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-480-6012
Osaguona Osa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3678 Fax: 980-487-2222
Paul Brent Ferrell, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-480-6012
Aamir Iqbal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482
Baruh Bruck Mulat, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 808 N Washington St, Shelby, NC 28150 Phone: 980-487-1400 Fax: 980-487-1400
Forrest Leigh Thompson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-2600

Obiora Ezeudemba, MD - Medicare Internal Medicine in Shelby, NC