Odera Mbanugo, MD in Canton, OH - Medicare Family Medicine

Odera Mbanugo, MD is a medicare enrolled "Family Medicine" physician in Canton, Ohio. His current practice location is 4320 Cleveland Ave Sw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 484-2584.

Odera Mbanugo is licensed to practice in Ohio (license number 35.148038) 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 1053936443.

Contact Information

	Odera Mbanugo, MD
	4320 Cleveland Ave Sw, Canton, OH 44707
	(330) 484-2584
	Not Available

Map and Direction

Physician's Profile

Full Name	Odera Mbanugo
Gender	Male
Speciality	Family Medicine
Location	4320 Cleveland Ave Sw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053936443
Provider Enumeration Date: 06/11/2020
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 7315369600
Enrollment ID: I20231016001985

Medical Identifiers

Medical identifiers for Odera Mbanugo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053936443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35.148038 (Ohio)	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. Odera Mbanugo allows following entities to bill medicare on his behalf.

Entity Name	Aultman North Canton Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245257088 PECOS PAC ID: 4082605266 Enrollment ID: O20040518001528

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. Odera Mbanugo 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
Odera Mbanugo, MD Po Box 80690, Canton, OH 44708-0690 Ph: (330) 363-7444	Odera Mbanugo, MD 4320 Cleveland Ave Sw, Canton, OH 44707 Ph: (330) 484-2584

Reviews and Comments

Family Medicine Doctors in Canton, OH

Susan E Mercer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth Street Sw, Aultman Hospital, Canton, OH 44710 Phone: 330-452-9911 Fax: 330-588-4717
Robert Paul Brophy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth Street, Aultman Hospital, Canton, OH 44710 Phone: 330-452-9911 Fax: 330-588-4717
Dr. Carmen Elizabeth Soto, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4761 Higbee Ave Nw, Community Health Care, Canton, OH 44718 Phone: 330-493-0476 Fax: 330-493-0803
Dr. Joseph G Vrabel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6723 Militia Hill St Nw, Canton, OH 44718 Phone: 330-430-1838 Fax: 330-494-4560
Francisca Sefakor Mote, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Po Box 80690, Canton, OH 44708 Phone: 330-363-7444 Fax: 330-363-7770
Allison M Oprandi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth Street Sw, Aultman Hospital, Canton, OH 44710 Phone: 330-452-9911 Fax: 330-588-4717

Odera Mbanugo, MD - Medicare Family Medicine in Canton, OH