Mr Innocent N Ubunama, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Holland, Ohio. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Midwest Vascular And Varicose Vein Center Llc and his current practice location is
7100 Orchard Center Dr, Holland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 866-2000.
Mr Innocent N Ubunama is licensed to practice in Ohio (license number 34008253) 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 1427119981.
Physician's Profile
| Full Name | Mr Innocent N Ubunama |
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| Gender | Male |
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| Speciality | Vascular Surgery |
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| Experience | 27 Years |
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| Location | 7100 Orchard Center Dr, Holland, Ohio |
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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:
- Mr Innocent N Ubunama attended and graduated from Philadelphia College Of Osteopathic Medicine in 1997
NPI Data:
- NPI Number: 1427119981
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 11/08/2012
Medicare PECOS Information:
- PECOS PAC ID: 8820074313
- Enrollment ID: I20040625000720
Medical Identifiers
Medical identifiers for Mr Innocent N Ubunama such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427119981 | NPI | - | NPPES |
| 34008253 | Other | OH | LICENSE |
| 2473783 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 34008253 (Ohio) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 34008253 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Midwest Vascular And Varicose Vein Center Llc | 4688776818 | 4 |
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. Mr Innocent N Ubunama allows following entities to bill medicare on his behalf.
| Entity Name | Midwest Vascular & Varicose Vein Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255492203
PECOS PAC ID: 4688776818
Enrollment ID: O20070219000620 |
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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. Mr Innocent N Ubunama 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 |
|---|
Mr Innocent N Ubunama, DO
7100 Orchard Center Dr,
Holland, OH 43528
Ph: (419) 866-2000 | Mr Innocent N Ubunama, DO
7100 Orchard Center Dr,
Holland, OH 43528
Ph: (419) 866-2000 |
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