Stanley Eziukwu, MD in Lima, OH - Medicare Pediatrics

Stanley Eziukwu, MD is a medicare enrolled "Pediatrics" physician in Lima, Ohio. His current practice location is 1001 Bellefontaine Ave, Lima, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 228-3335.

Stanley Eziukwu is licensed to practice in Ohio (license number 35.141450) 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 1669901450.

Contact Information

	Stanley Eziukwu, MD
	1001 Bellefontaine Ave, Lima, OH 45804-2800
	(419) 228-3335
	Not Available

Map and Direction

Physician's Profile

Full Name	Stanley Eziukwu
Gender	Male
Speciality	Pediatrics
Location	1001 Bellefontaine Ave, Lima, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669901450
Provider Enumeration Date: 06/06/2017
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 9537437124
Enrollment ID: I20210608001581

Medical Identifiers

Medical identifiers for Stanley Eziukwu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669901450	NPI	-	NPPES
0444619	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.141450 (Ohio)	Primary
208M00000X	Hospitalist	35.141450 (Ohio)	Secondary

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. Stanley Eziukwu allows following entities to bill medicare on his behalf.

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

Entity Name	Lima Memorial Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

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. Stanley Eziukwu 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
Stanley Eziukwu, MD 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 228-3335	Stanley Eziukwu, MD 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 228-3335

Reviews and Comments

Pediatrics Doctors in Lima, OH

Hussein Ibrahim Kashk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 967 Bellefontaine Ave, Lima, OH 45804 Phone: 419-996-5895
Albert Anthony Phillips Ii, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361
Dr. Sheilla D Mcneal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W High St, Suite 102, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665
Dr. Teresa Jean Byrne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 W High St, Suite 102 And Suite 201, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665
Taylor Hartlaub, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361
Magdalino M Tatad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9065
Dr. Rajbir Singh Bajwa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W High St, Suite 102, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665

Stanley Eziukwu, MD - Medicare Pediatrics in Lima, OH