Ginikachukwu Marylinda Agudosi, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Farmington, Connecticut. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medstar Urgent Care Llc, Medstar Urgent Care Llc and her current practice location is
263 Farmington Ave, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 679-4477.
Ginikachukwu Marylinda Agudosi is licensed to practice in * (Not Available) (license number ) 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 1093146524.
Provider's Profile
Full Name | Ginikachukwu Marylinda Agudosi |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 11 Years |
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Location | 263 Farmington Ave, Farmington, Connecticut |
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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:
- Ginikachukwu Marylinda Agudosi graduated from nursing school in 2013
NPI Data:
- NPI Number: 1093146524
- Provider Enumeration Date: 12/10/2013
- Last Update Date: 04/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143515635
- Enrollment ID: I20160823001703
Medical Identifiers
Medical identifiers for Ginikachukwu Marylinda Agudosi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093146524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R205773 (Maryland) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Medstar Urgent Care Llc | 9335303155 | 252 |
Medstar Urgent Care Llc | 9335303155 | 252 |
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. Ginikachukwu Marylinda Agudosi allows following entities to bill medicare on her behalf.
Entity Name | Medical Faculty Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417990581 PECOS PAC ID: 4082528898 Enrollment ID: O20031117000341 |
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Entity Name | Medstar Medical Group Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
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Entity Name | Medstar Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871843409 PECOS PAC ID: 9335303155 Enrollment ID: O20130513000540 |
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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. Ginikachukwu Marylinda Agudosi 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 |
Ginikachukwu Marylinda Agudosi, MD 263 Farmington Ave, Farmington, CT 06030-8021 Ph: (860) 679-4477 | Ginikachukwu Marylinda Agudosi, MD 263 Farmington Ave, Farmington, CT 06030-2342 Ph: (860) 679-4477 |
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