Dr Kim Chiedozi Ohaegbulam, MD, PHD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Forest Hills, New York. His current practice location is
102-01 66th Rd, Department Of Medicine, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 830-4000.
Dr Kim Chiedozi Ohaegbulam is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326508409.
Physician's Profile
Full Name | Dr Kim Chiedozi Ohaegbulam |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 102-01 66th Rd, Forest Hills, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326508409
- Provider Enumeration Date: 03/23/2019
- Last Update Date: 12/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547684961
- Enrollment ID: I20230131000165
Medical Identifiers
Medical identifiers for Dr Kim Chiedozi Ohaegbulam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326508409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0101277423 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Dr Kim Chiedozi Ohaegbulam allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383 |
---|
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 Kim Chiedozi Ohaegbulam 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 Kim Chiedozi Ohaegbulam, MD, PHD 102-01 66th Rd, Department Of Medicine, Forest Hills, NY 11375 Ph: (718) 830-4000 | Dr Kim Chiedozi Ohaegbulam, MD, PHD 102-01 66th Rd, Department Of Medicine, Forest Hills, NY 11375 Ph: (718) 830-4000 |
Reviews and Comments