Dr Bernard Asonganyi Mbeboh, MD is a medicare enrolled "Internal Medicine" in Detroit, Michigan. His current practice location is
3031 W Grand Blvd Ste 600, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 871-3751.
Dr Bernard Asonganyi Mbeboh is licensed to practice in Maryland (license number D0099241) 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 1215999107.
Provider's Profile
Full Name | Dr Bernard Asonganyi Mbeboh |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 3031 W Grand Blvd Ste 600, Detroit, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215999107
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254418809
- Enrollment ID: I20080407000153
Medical Identifiers
Medical identifiers for Dr Bernard Asonganyi Mbeboh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215999107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | C03163 (Maryland) | Secondary |
207R00000X | Internal Medicine | D0099241 (Maryland) | 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. Dr Bernard Asonganyi Mbeboh 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 Bernard Asonganyi Mbeboh, MD 3031 W Grand Blvd, Detroit, MI 48202-3046 Ph: (313) 871-3751 | Dr Bernard Asonganyi Mbeboh, MD 3031 W Grand Blvd Ste 600, Detroit, MI 48202-3014 Ph: (313) 871-3751 |
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