Dr Chiagoziem Jane Ndulue, MD in O Fallon, IL

Dr Chiagoziem Jane Ndulue, MD is a medicare enrolled "Family Medicine" physician in O Fallon, Illinois. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Deaconess Illinois Specialty Clinic, Inc. and her current practice location is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-5480.

Dr Chiagoziem Jane Ndulue is licensed to practice in Illinois (license number 036171759) 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 1780173864.

Contact Information

	Dr Chiagoziem Jane Ndulue, MD
	3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284
	(618) 233-5480
	(618) 222-4792

Map and Direction

Physician's Profile

Full Name	Dr Chiagoziem Jane Ndulue
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	3 Saint Elizabeth Blvd Ste 4000, O Fallon, 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 Chiagoziem Jane Ndulue graduated from medical school in 2014

NPI Data:

NPI Number: 1780173864
Provider Enumeration Date: 05/04/2018
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 4880020130
Enrollment ID: I20240927001918

Medical Identifiers

Medical identifiers for Dr Chiagoziem Jane Ndulue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780173864	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2023-00632 (North Carolina)	Secondary
207Q00000X	Family Medicine	ML60866561 (Washington)	Secondary
207Q00000X	Family Medicine	036171759 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Red Bud Regional Hospital	Red bud, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Illinois Specialty Clinic, Inc.	9830562016	95

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 Chiagoziem Jane Ndulue allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

Entity Name	Deaconess Illinois Specialty Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688

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 Chiagoziem Jane Ndulue 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 Chiagoziem Jane Ndulue, MD 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480	Dr Chiagoziem Jane Ndulue, MD 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480

Reviews and Comments

Family Medicine Doctors in O Fallon, IL

Dr. Noah M Cooperstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-256-7311
Dr. Patrick Bloecher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-7880
Dr. Steven Allen Taylor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529
Dr. Vincent Joseph Duenas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120
Rema Sanghavi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529
Dr. Kevin L Pritchett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693
Dr. James Leon Jablonski Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693

Dr Chiagoziem Jane Ndulue, MD - Medicare Family Practice in O Fallon, IL