Ivan Che Ndamukong, PHD, PA-C - Medicare Physician Assistant in Portsmouth, VA

Ivan Che Ndamukong, PHD, PA-C is a medicare enrolled "Physician Assistant" in Portsmouth, Virginia. His current practice location is 1040 University Blvd Ste 205, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 391-7370.

Ivan Che Ndamukong is licensed to practice in Virginia (license number 0110008765) 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 1679234371.

Contact Information

Ivan Che Ndamukong, PHD, PA-C
1040 University Blvd Ste 205,
Portsmouth, VA 23703-2650
(757) 391-7370
Not Available

Map and Direction




Provider's Profile

Full NameIvan Che Ndamukong
GenderMale
SpecialityPhysician Assistant
Location1040 University Blvd Ste 205, Portsmouth, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679234371
  • Provider Enumeration Date: 01/04/2022
  • Last Update Date: 08/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911378252
  • Enrollment ID: I20230124000977

Medical Identifiers

Medical identifiers for Ivan Che Ndamukong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679234371NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110008765 (Virginia)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. Ivan Che Ndamukong 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 AddressPractice Location Address
Ivan Che Ndamukong, PHD, PA-C
2113 Chesterfield Loop,
Chesapeake, VA 23323-6670

Ph: (252) 412-9548
Ivan Che Ndamukong, PHD, PA-C
1040 University Blvd Ste 205,
Portsmouth, VA 23703-2650

Ph: (757) 391-7370

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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