Kibibi Wanzu, is a medicare enrolled "Podiatrist" provider in Hampton, Georgia. She went to Temple University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Podiatry. Her current practice location is
990 Bear Creek Blvd Ste E, Hampton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 781-5585.
Kibibi Wanzu is licensed to practice in Georgia (license number POD001378) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043689623.
Healthcare Provider's Profile
| Full Name | Kibibi Wanzu |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 9 Years |
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| Location | 990 Bear Creek Blvd Ste E, Hampton, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kibibi Wanzu attended and graduated from Temple University School Of Medicine in 2015
NPI Data:
- NPI Number: 1043689623
- Provider Enumeration Date: 09/24/2015
- Last Update Date: 07/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 9133475221
- Enrollment ID: I20181022002108
Medical Identifiers
Medical identifiers for Kibibi Wanzu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043689623 | NPI | - | NPPES |
| 003207314 | Medicaid | GA | |
| 003207314G | Medicaid | GA | |
| 14312441 | Other | GA | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | POD001378 (Georgia) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001378 (Georgia) | Secondary |
Medical Facilities Affiliation
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. Kibibi Wanzu allows following entities to bill medicare on her behalf.
| Provider Name | Modern Podiatry, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1811538390
PECOS PAC ID: 0345670980
Enrollment ID: O20200421003261 |
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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. Kibibi Wanzu 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 |
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Kibibi Wanzu,
990 Bear Creek Blvd Ste E,
Hampton, GA 30228-1864
Ph: (470) 781-5585 | Kibibi Wanzu,
990 Bear Creek Blvd Ste E,
Hampton, GA 30228-1864
Ph: (470) 781-5585 |
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