Dr Obiageli Immaculata Esotu, MD is a medicare enrolled "Family Medicine" in Quincy, Illinois. Her current practice location is
612 N 11th St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 224-9484.
Dr Obiageli Immaculata Esotu is licensed to practice in Illinois (license number 125081291) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093095317.
Provider's Profile
Full Name | Dr Obiageli Immaculata Esotu |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 612 N 11th St, Quincy, Illinois |
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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: 1093095317
- Provider Enumeration Date: 08/17/2011
- Last Update Date: 06/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446420327
- Enrollment ID: I20230703000653
Medical Identifiers
Medical identifiers for Dr Obiageli Immaculata Esotu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093095317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71003650A (Indiana) | Secondary |
207Q00000X | Family Medicine | 125081291 (Illinois) | 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. Dr Obiageli Immaculata Esotu 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 |
Dr Obiageli Immaculata Esotu, MD 612 N 11th St, Quincy, IL 62301-2662 Ph: (217) 224-9484 | Dr Obiageli Immaculata Esotu, MD 612 N 11th St, Quincy, IL 62301-2662 Ph: (217) 224-9484 |
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