Glen Ehicheoya Oriaifo, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Vincennes, Indiana. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Good Samaritan Hospital and 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 | Psychiatry |
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Experience | 9 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. |
Medical Education and Training:
- Glen Ehicheoya Oriaifo graduated from medical school in 2015
NPI Data:
- NPI Number: 1104271618
- Provider Enumeration Date: 05/03/2016
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385938604
- Enrollment ID: I20201009000770
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Good Samaritan Hospital | 9436061918 | 9 |
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. Glen Ehicheoya Oriaifo allows following entities to bill medicare on his behalf.
Entity Name | Good Samaritan Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639176373 PECOS PAC ID: 9436061918 Enrollment ID: O20031204000723 |
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Entity Name | Good Samaritan Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174031256 PECOS PAC ID: 5294099321 Enrollment ID: O20190219002426 |
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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. 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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