Dr Edward Nana Opoku Jr, DO is a medicare enrolled "General Practice" physician in La Canada Flintridge, California. His current practice location is
2222 Foothill Blvd # E122, La Canada Flintridge, California. You can reach out to his office (for appointments etc.) via phone at
(310) 936-4782.
Dr Edward Nana Opoku Jr is licensed to practice in California (license number 20A11418) 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 1982989380.
Physician's Profile
Full Name | Dr Edward Nana Opoku Jr |
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Gender | Male |
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Speciality | General Practice |
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Location | 2222 Foothill Blvd # E122, La Canada Flintridge, California |
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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: 1982989380
- Provider Enumeration Date: 10/17/2011
- Last Update Date: 09/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092089425
- Enrollment ID: I20230807001798
Medical Identifiers
Medical identifiers for Dr Edward Nana Opoku Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982989380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 20A11418 (California) | 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. Dr Edward Nana Opoku Jr allows following entities to bill medicare on his behalf.
Entity Name | Global Wound Care Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
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Entity Name | Noho Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326829367 PECOS PAC ID: 7416304050 Enrollment ID: O20231103001773 |
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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 Edward Nana Opoku Jr 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 Edward Nana Opoku Jr, DO 3714 Potomac Ave # 106, Los Angeles, CA 90016-5708 Ph: (213) 389-2526 | Dr Edward Nana Opoku Jr, DO 2222 Foothill Blvd # E122, La Canada Flintridge, CA 91011-1456 Ph: (310) 936-4782 |
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