Dr Cynthia Uchechukwu Udeh, DDS in Chicago, IL - Medicare Oral Surgery Provider

Dr Cynthia Uchechukwu Udeh, DDS is a medicare enrolled "Dentist - Prosthodontics" provider in Chicago, Illinois. She went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Oral Surgery. She is a member of the group practice Mayo Clinic and her current practice location is 811 S Paulina St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 996-7546.

Dr Cynthia Uchechukwu Udeh is licensed to practice in Illinois (license number 021003473) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912764457.

Contact Information

	Dr Cynthia Uchechukwu Udeh, DDS
	811 S Paulina St, Chicago, IL 60612-4353
	(312) 996-7546
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Cynthia Uchechukwu Udeh
Gender	Female
Speciality	Oral Surgery
Experience	5 Years
Location	811 S Paulina St, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Cynthia Uchechukwu Udeh attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2021

NPI Data:

NPI Number: 1912764457
Provider Enumeration Date: 03/01/2024
Last Update Date: 01/26/2026

Medicare PECOS Information:

PECOS PAC ID: 2163863671
Enrollment ID: I20240515002779

Medical Identifiers

Medical identifiers for Dr Cynthia Uchechukwu Udeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912764457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0700X	Dentist - Prosthodontics	021003473 (Illinois)	Primary
122300000X	Dentist	019036457 (Illinois)	Secondary
1223P0700X	Dentist - Prosthodontics	D15026 (Minnesota)	Secondary
122300000X	Dentist	D15026 (Minnesota)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D15026 (Minnesota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Illinois Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayo Clinic	6507778255	4862

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 Cynthia Uchechukwu Udeh allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

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 Cynthia Uchechukwu Udeh 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 Cynthia Uchechukwu Udeh, DDS 811 S Paulina St Ste 161, Chicago, IL 60612-4353 Ph: (312) 996-7546	Dr Cynthia Uchechukwu Udeh, DDS 811 S Paulina St, Chicago, IL 60612-4353 Ph: (312) 996-7546

Reviews and Comments

Dentist in Chicago, IL

Dr. Philip E Fidel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3236 W Fullerton Ave, Chicago, IL 60647 Phone: 773-276-0300 Fax: 773-252-5994
Theresa Westfallen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1738 W North Ave, Chicago, IL 60622 Phone: 773-276-5566 Fax: 773-276-8780
Dr. Justine S Gasior, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6820 S Pulaski Rd, Chicago, IL 60629 Phone: 773-581-4627 Fax: 773-581-3155
Dr. William Kwok Kuen Wan, M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2262 S. Wentworth Ave, 2nd Floor, Chicago, IL 60616 Phone: 312-791-1013 Fax: 312-791-1444
Gandy S Garcia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3915 W 26th St, Chicago, IL 60623 Phone: 773-522-2929 Fax: 773-522-2930
Dr. Sodabeh Etminan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7131 S Jeffery Blvd Ste A, Chicago, IL 60649 Phone: 773-256-0526
Dr. Maria Borzecka, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3256 N Pulaski Rd, Chicago, IL 60641 Phone: 773-481-1900 Fax: 773-481-7003

Dr Cynthia Uchechukwu Udeh, DDS - Medicare Dentist in Chicago, IL