Chidinma Ezeonu, is a medicare enrolled "Physician Assistant - Surgical" physician in Pottstown, Pennsylvania. Her current practice location is
1600 E High St, Pottstown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 327-7000.
Chidinma Ezeonu is licensed to practice in Pennsylvania (license number MA052715) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477973329.
Physician's Profile
| Full Name | Chidinma Ezeonu |
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| Gender | Female |
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| Speciality | Physician Assistant - Surgical |
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| Location | 1600 E High St, Pottstown, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477973329
- Provider Enumeration Date: 04/18/2014
- Last Update Date: 06/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 0446525687
- Enrollment ID: I20190528002613
Medical Identifiers
Medical identifiers for Chidinma Ezeonu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477973329 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 25MA10305300 (New Jersey) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | MA052715 (Pennsylvania) | Primary |
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. Chidinma Ezeonu allows following entities to bill medicare on her behalf.
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524 |
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| Entity Name | Practice Associates Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690 |
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| Entity Name | Princeton Healthcare Affiliated Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518194323
PECOS PAC ID: 2567598022
Enrollment ID: O20100413000141 |
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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. Chidinma Ezeonu 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 |
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Chidinma Ezeonu,
30 Prospect Ave,
Hackensack, NJ 07601-1915
Ph: (551) 996-4466 | Chidinma Ezeonu,
1600 E High St,
Pottstown, PA 19464-5008
Ph: (610) 327-7000 |
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