Liberty Odinamadu Ubani, AGANCP-BC is a medicare enrolled "Anesthesiology - Critical Care Medicine" in Lawrenceville, Georgia. His current practice location is
1272 Marlton Chase Dr, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 966-9572.
Liberty Odinamadu Ubani is licensed to practice in Georgia (license number RN221108) 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 1386226173.
Provider's Profile
Full Name | Liberty Odinamadu Ubani |
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Gender | Male |
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Speciality | Anesthesiology - Critical Care Medicine |
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Location | 1272 Marlton Chase Dr, Lawrenceville, Georgia |
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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: 1386226173
- Provider Enumeration Date: 04/22/2021
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163880451
- Enrollment ID: I20230619000983
Medical Identifiers
Medical identifiers for Liberty Odinamadu Ubani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386226173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2100X | Nurse Practitioner - Acute Care | RN221108 (Georgia) | Secondary |
207LC0200X | Anesthesiology - Critical Care Medicine | RN221108 (Georgia) | Primary |
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. Liberty Odinamadu Ubani allows following entities to bill medicare on his behalf.
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
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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. Liberty Odinamadu Ubani 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 |
Liberty Odinamadu Ubani, AGANCP-BC 1272 Marlton Chase Dr, Lawrenceville, GA 30044-2011 Ph: (404) 966-9572 | Liberty Odinamadu Ubani, AGANCP-BC 1272 Marlton Chase Dr, Lawrenceville, GA 30044-2011 Ph: (404) 966-9572 |
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