Benjamin Otiwu, is a
Nurse Anesthetist, Certified Registered based in Buford, Georgia. Benjamin Otiwu is licensed to practice in Georgia (license number 148574) and his current practice location is
3965 Bradford Walk Trl, Buford, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 488-1093.
NPI number for Benjamin Otiwu is 1992486591 and his current mailing address is 3965 Bradford Walk Trl, Buford, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992486591.
Provider's Profile
| Full Name | Benjamin Otiwu |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 3965 Bradford Walk Trl, Buford, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992486591
- Provider Enumeration Date: 07/26/2023
- Last Update Date: 05/10/2024
Medical Identifiers
Medical identifiers for Benjamin Otiwu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992486591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN283773 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 148574 (Georgia) | 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. Benjamin Otiwu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Otiwu,
3965 Bradford Walk Trl,
Buford, GA 30519-7840
Ph: (678) 488-1093 | Benjamin Otiwu,
3965 Bradford Walk Trl,
Buford, GA 30519-7840
Ph: (678) 488-1093 |
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