Chinyere I Odeluga, MD is a medicare enrolled "Family Medicine" in East Chicago, Indiana. Her current practice location is
915 West Chicago Avenue, East Chicago, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 397-6000.
Chinyere I Odeluga is licensed to practice in Indiana (license number 01045992) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316002181.
Provider's Profile
| Full Name | Chinyere I Odeluga |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 915 West Chicago Avenue, East Chicago, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316002181
- Provider Enumeration Date: 12/22/2006
- Last Update Date: 03/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 0648466045
- Enrollment ID: I20130814000213
Medical Identifiers
Medical identifiers for Chinyere I Odeluga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316002181 | NPI | - | NPPES |
| 10784830 | Other | | LAQH |
| 080148349 | Other | | PALMETO GBA MEDICAL |
| 01045992 | Other | IN | LICENSE BOARD |
| 036092321 | Other | IL | LICENSE BOARD |
| 000000093249 | Other | | ANTHEM BC BS |
| 200118940 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 041278213 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 01045992 (Indiana) | Primary |
| 207Q00000X | Family Medicine | 036092321 (Illinois) | Secondary |
| 208D00000X | General Practice | 01045992 (Indiana) | Secondary |
| 208D00000X | General Practice | 036092321 (Illinois) | 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. Chinyere I Odeluga allows following entities to bill medicare on her behalf.
| Entity Name | The Methodist Hospitals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720290349
PECOS PAC ID: 9638063894
Enrollment ID: O20040210000526 |
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| Entity Name | Chikare Health System Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043375934
PECOS PAC ID: 3678548195
Enrollment ID: O20040828000226 |
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| Entity Name | Chikare Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043375934
PECOS PAC ID: 8729311121
Enrollment ID: O20190618002950 |
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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. Chinyere I Odeluga 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 |
|---|
Chinyere I Odeluga, MD
915 W Chicago Ave,
East Chicago, IN 46312-3308
Ph: (219) 397-6000 | Chinyere I Odeluga, MD
915 West Chicago Avenue,
East Chicago, IN 46312
Ph: (219) 397-6000 |
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