Victor Omamode Idahosa, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Waverly, New York. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Waverly Medical Associates Llc and his current practice location is
348 Broad St, Waverly, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 821-2444.
Victor Omamode Idahosa is licensed to practice in New York (license number 276514) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528226677.
Physician's Profile
| Full Name | Victor Omamode Idahosa |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 30 Years |
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| Location | 348 Broad St, Waverly, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Victor Omamode Idahosa graduated from medical school in 1995
NPI Data:
- NPI Number: 1528226677
- Provider Enumeration Date: 05/27/2008
- Last Update Date: 05/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153484365
- Enrollment ID: I20150424000173
Medical Identifiers
Medical identifiers for Victor Omamode Idahosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528226677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RA0401X | Internal Medicine - Addiction Medicine | 276514 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Waverly Medical Associates Llc | 0547589541 | 2 |
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. Victor Omamode Idahosa allows following entities to bill medicare on his behalf.
| Entity Name | Waverly Medical Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457757486
PECOS PAC ID: 0547589541
Enrollment ID: O20150424000126 |
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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. Victor Omamode Idahosa 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 |
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Victor Omamode Idahosa, MD
348 Broad St,
Waverly, NY 14892-1441
Ph: (607) 821-2444 | Victor Omamode Idahosa, MD
348 Broad St,
Waverly, NY 14892-1441
Ph: (607) 821-2444 |
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