Glen Ehicheoya Oriaifo, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Vincennes, Indiana. His current practice location is
515 Bayou St, Vincennes, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 886-6800.
Glen Ehicheoya Oriaifo is licensed to practice in Indiana (license number 01083103A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104271618.
Healthcare Provider's Profile
| Full Name | Glen Ehicheoya Oriaifo |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 515 Bayou St, Vincennes, Indiana |
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| Accepts Medicare Assignments | Yes. He 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:
- Glen Ehicheoya Oriaifo attended and graduated from in
NPI Data:
- NPI Number: 1104271618
- Provider Enumeration Date: 05/03/2016
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Glen Ehicheoya Oriaifo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104271618 | NPI | - | NPPES |
| 01083103A | Other | IN | LICENSE |
| 300042757 | Medicaid | IN | |
| 01083103B | Other | IN | CSR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 01083103A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01083103A (Indiana) | 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. Glen Ehicheoya Oriaifo 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 |
|---|
Glen Ehicheoya Oriaifo, MD
1160 E Saint Clair St,
Vincennes, IN 47591-4853
Ph: (812) 885-3106 | Glen Ehicheoya Oriaifo, MD
515 Bayou St,
Vincennes, IN 47591-1034
Ph: (812) 886-6800 |
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