| Okee Ekenna, Inc | |
|
3702 Jefferson Ave Pascagoula MS 39563-6218 | |
| (228) 769-2588 | |
| (228) 769-2589 |
| Full Name | Okee Ekenna, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3702 Jefferson Ave, Pascagoula, Mississippi |
| Authorized Official Name and Position | Okechukwu Ekenna (OWNER) |
| Authorized Official Contact | 2287692588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Okee Ekenna, Inc 3702 Jefferson Ave Pascagoula MS 39563-6218 Ph: (228) 769-2588 | Okee Ekenna, Inc 3702 Jefferson Ave Pascagoula MS 39563-6218 Ph: (228) 769-2588 |
| NPI Number | 1306985395 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 0941303234 |
|---|---|
| Medicare Enrollment ID | O20070306000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306985395 | NPI | - | NPPES |
| 009505210 | Other | MS | ALACAID |
| 414338860B | Other | MS | AHS STATE |
| 414338860B | Other | MS | BLUE CROSS |
| 04178015 | Medicaid | MS | |
| 110101525 | Other | MS | MEDICARE RAILROAD |
| 106036700 | Other | MS | USDOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 13816 (Mississippi) | Primary |
| Provider Name | Okechukwu Ekenna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578678868 PECOS PAC ID: 0345343638 Enrollment ID: I20070306000650 |
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