Osita Victor Ezeakudo, MD in Fort Wayne, IN

Osita Victor Ezeakudo, MD is a medicare enrolled "Pediatrics" physician in Fort Wayne, Indiana. His current practice location is 2510 E Dupont Rd, Suite 200, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-4913.

Osita Victor Ezeakudo is licensed to practice in Indiana (license number 01065437A) 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 1013078351.

Contact Information

	Osita Victor Ezeakudo, MD
	2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601
	(260) 432-4913
	(260) 969-6832

Map and Direction

Physician's Profile

Full Name	Osita Victor Ezeakudo
Gender	Male
Speciality	Pediatrics
Location	2510 E Dupont Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013078351
Provider Enumeration Date: 12/12/2006
Last Update Date: 01/31/2018

Medicare PECOS Information:

PECOS PAC ID: 3779753389
Enrollment ID: I20110908001900

Medical Identifiers

Medical identifiers for Osita Victor Ezeakudo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013078351	NPI	-	NPPES
200910310	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01065437A (Indiana)	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. Osita Victor Ezeakudo allows following entities to bill medicare on his behalf.

Entity Name	Associated Surgeons And Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083868269 PECOS PAC ID: 2668539818 Enrollment ID: O20090316000381

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. Osita Victor Ezeakudo 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
Osita Victor Ezeakudo, MD 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 Ph: (260) 432-4400	Osita Victor Ezeakudo, MD 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601 Ph: (260) 432-4913

Reviews and Comments

Pediatrics Doctors in Fort Wayne, IN

Dr. Melissa S Rice, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11115 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-672-6443 Fax: 260-672-6459
Vaneska Bottino Da Costa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 Fax: 260-435-9763
Ronald R Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1717 S Calhoun St, Fort Wayne, IN 46802 Phone: 260-458-2641 Fax: 260-969-0007
Mrs. Lindsay M Ligler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2810 Dupont Commerce Ct, Fort Wayne, IN 46825 Phone: 260-490-7337
Dr. Michael Philip Dick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3898 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-425-5750 Fax: 260-425-5755
Pamela Thomas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6420

Osita Victor Ezeakudo, MD - Medicare Pediatrics in Fort Wayne, IN