Henry Okonkwo, is a medicare enrolled "Physician Assistant" in Dominguez Hills, California. His current practice location is
976 Blackberry Ln, Dominguez Hills, California. You can reach out to his office (for appointments etc.) via phone at
(310) 464-7042.
Henry Okonkwo is licensed to practice in California (license number PA16806) 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 1700929841.
Provider's Profile
Full Name | Henry Okonkwo |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 976 Blackberry Ln, Dominguez Hills, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700929841
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 03/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 3476596768
- Enrollment ID: I20050628000538
Medical Identifiers
Medical identifiers for Henry Okonkwo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700929841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA16806 (California) | Primary |
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. Henry Okonkwo 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 |
Henry Okonkwo, 11041 Santa Monica Blvd # 515, Los Angeles, CA 90025-3523 Ph: (310) 464-7042 | Henry Okonkwo, 976 Blackberry Ln, Dominguez Hills, CA 90746 Ph: (310) 464-7042 |
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