Omoye Enisegho Imoisili, MD, MPH is a medicare enrolled "Hospitalist" physician in Largo, Maryland. She went to Columbia University College Of Physicians And Surgeons and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Adfinitas Health At Umcap Llc, Usacs Integrated Acute Care Services Of Maryland Llc and her current practice location is
901 Harry S Truman Dr N, Largo, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 677-1000.
Omoye Enisegho Imoisili is licensed to practice in Maryland (license number D86819) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275945396.
Physician's Profile
Full Name | Omoye Enisegho Imoisili |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 10 Years |
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Location | 901 Harry S Truman Dr N, Largo, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Omoye Enisegho Imoisili attended and graduated from Columbia University College Of Physicians And Surgeons in 2014
NPI Data:
- NPI Number: 1275945396
- Provider Enumeration Date: 05/22/2014
- Last Update Date: 07/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476874371
- Enrollment ID: I20191206000513
Medical Identifiers
Medical identifiers for Omoye Enisegho Imoisili such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275945396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | D86819 (Maryland) | Secondary |
207R00000X | Internal Medicine | 77676 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | D86819 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Adfinitas Health At Umcap Llc | 0840677738 | 37 |
Usacs Integrated Acute Care Services Of Maryland Llc | 4486900172 | 203 |
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. Omoye Enisegho Imoisili allows following entities to bill medicare on her behalf.
Entity Name | Hospitalist Medicine Physicians Of Maryland Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992945471 PECOS PAC ID: 8729138003 Enrollment ID: O20090608000332 |
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Entity Name | Usacs Integrated Acute Care Services Of Maryland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922598929 PECOS PAC ID: 4486900172 Enrollment ID: O20190604001354 |
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Entity Name | Adfinitas Health At Umcap Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205585940 PECOS PAC ID: 0840677738 Enrollment ID: O20220516000110 |
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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. Omoye Enisegho Imoisili 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 |
Omoye Enisegho Imoisili, MD, MPH 131 Ponce De Leon Ave, Apartment 282, Atlanta, GA 30308 Ph: () - | Omoye Enisegho Imoisili, MD, MPH 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (240) 677-1000 |
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