Dr Chisom Mogbo, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Sonoma, California. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Michael Decker Do, Inc. and her current practice location is
1250 Broadway, Sonoma, California. You can reach out to her office (for appointments etc.) via phone at
(949) 371-9773.
Dr Chisom Mogbo is licensed to practice in California (license number 20A22898) 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 1447887120.
Physician's Profile
| Full Name | Dr Chisom Mogbo |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 5 Years |
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| Location | 1250 Broadway, Sonoma, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Chisom Mogbo attended and graduated from Philadelphia College Of Osteopathic Medicine in 2020
NPI Data:
- NPI Number: 1447887120
- Provider Enumeration Date: 03/24/2020
- Last Update Date: 09/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335670678
- Enrollment ID: I20240927000719
Medical Identifiers
Medical identifiers for Dr Chisom Mogbo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447887120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 20A22898 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Michael Decker Do, Inc. | 9830481746 | 15 |
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 Chisom Mogbo allows following entities to bill medicare on her behalf.
| Entity Name | Michael Decker Do, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528410842
PECOS PAC ID: 9830481746
Enrollment ID: O20160714000122 |
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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. Dr Chisom Mogbo 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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Dr Chisom Mogbo, DO
1250 Broadway,
Sonoma, CA 95476-7500
Ph: () - | Dr Chisom Mogbo, DO
1250 Broadway,
Sonoma, CA 95476-7500
Ph: (949) 371-9773 |
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