Okwuolisa Amechi Ikediobi, MD | |
333 Cottman Ave, Philadelphia, PA 19111-2434 | |
(215) 728-2844 | |
(215) 214-1425 |
Full Name | Okwuolisa Amechi Ikediobi |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 333 Cottman Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326203035 | NPI | - | NPPES |
VAD000 | Other | TN | FEDERAL UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD444511 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | MD444511 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 44375 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Langhorne, PA | Hospital |
Temple University Hospital | Philadelphia, PA | Hospital |
St Lawrence Rehab Center | Lawrenceville, NJ | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Temple Physicians Inc | 2062317233 | 125 |
Mercer Bucks Medical Associates Pc | 9133024508 | 25 |
First Docs Llc | 1254751456 | 28 |
Entity Name | Mercer Bucks Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952485971 PECOS PAC ID: 9133024508 Enrollment ID: O20031201000069 |
Entity Name | Abington Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790738011 PECOS PAC ID: 3274437736 Enrollment ID: O20031208000487 |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Temple Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942444088 PECOS PAC ID: 2062317233 Enrollment ID: O20040310000054 |
Entity Name | Lancaster General Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1730323759 PECOS PAC ID: 1254240039 Enrollment ID: O20090710000234 |
Entity Name | Fox Chase Cancer Center Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054 |
Entity Name | Suburban Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20151026000795 |
Entity Name | Inhospital Physicians Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073971750 PECOS PAC ID: 3779888110 Enrollment ID: O20160224000067 |
Entity Name | Temple Faculty Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
---|---|
Okwuolisa Amechi Ikediobi, MD 2500 Maryland Rd, Ste 400, Willow Grove, PA 19090-1225 Ph: (215) 728-6900 | Okwuolisa Amechi Ikediobi, MD 333 Cottman Ave, Philadelphia, PA 19111-2434 Ph: (215) 728-2844 |
Srikar Vegesna, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2118 Cottman Ave, Philadelphia, PA 19149 Phone: 215-342-3020 Fax: 215-342-3653 | |
Chelsea Tiffany Salas-tam, Family Medicine Medicare: Medicare Enrolled Practice Location: 861 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-302-3600 | |
Kunal Anandpara, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11000 Roosevelt Blvd, Philadelphia, PA 19116 Phone: 215-677-1475 Fax: 215-677-3082 | |
Joshua George, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-324-0600 Fax: 215-324-2795 | |
Meng-chao Lee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 Central Ave Ste 104, Philadelphia, PA 19111 Phone: 215-742-0712 Fax: 215-742-5218 | |
Carol Bowes-lawlor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 E Chestnut Hill Ave, Philadelphia, PA 19118 Phone: 215-753-9080 Fax: 215-753-8830 | |
Dr. Seung Hee Hong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 150, Philadelphia, PA 19134 Phone: 215-926-3535 Fax: 215-926-3536 |