Mr Ogbanedi John Abu, PHYSICIAN ASSISTANT in Stockton, CA

Mr Ogbanedi John Abu, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Stockton, California. His current practice location is 415 W Benjamin Holt Dr, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 477-4103.

Mr Ogbanedi John Abu is licensed to practice in California (license number PA22087) 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 1750655353.

Contact Information

	Mr Ogbanedi John Abu, PHYSICIAN ASSISTANT
	415 W Benjamin Holt Dr, Stockton, CA 95207-3958
	(209) 477-4103
	(209) 477-1065

Map and Direction

Provider's Profile

Full Name	Mr Ogbanedi John Abu
Gender	Male
Speciality	Physician Assistant
Location	415 W Benjamin Holt Dr, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750655353
Provider Enumeration Date: 02/28/2012
Last Update Date: 02/28/2012

Medicare PECOS Information:

PECOS PAC ID: 8426292574
Enrollment ID: I20130911000888

Medical Identifiers

Medical identifiers for Mr Ogbanedi John Abu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750655353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA22087 (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. Mr Ogbanedi John Abu 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
Mr Ogbanedi John Abu, PHYSICIAN ASSISTANT Po Box 580244, Elk Grove, CA 95758-0005 Ph: (209) 472-6624	Mr Ogbanedi John Abu, PHYSICIAN ASSISTANT 415 W Benjamin Holt Dr, Stockton, CA 95207-3958 Ph: (209) 477-4103

Reviews and Comments

Physician Assistant Nurses in Stockton, CA

Ms. Rose L Santos, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 W Benjamin Holt Dr, Stockton, CA 95207 Phone: 209-472-8400
Anjali Agrawal, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2531 N California St, Stockton, CA 95204 Phone: 209-464-7738 Fax: 209-464-5142
Christophe Thomas Anslinger, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2488 N California St, Stockton, CA 95204 Phone: 209-948-3333
Michelle Lai, MPH, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 525 W Acacia St, Stockton, CA 95203 Phone: 209-944-5550
Czarinabelle Perez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2626 N California St Ste B, Stockton, CA 95204 Phone: 209-466-2626
Mrs. Andrea Marissa Olivas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1507 E March Ln Ste C, Stockton, CA 95210 Phone: 209-277-5052 Fax: 209-475-8146
Mrs. Sandra Robles-bonham, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 77 W. March Lane, Suite A, Stockton, CA 95207 Phone: 209-477-5552 Fax: 209-477-5553

Mr Ogbanedi John Abu, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Stockton, CA