Dr Ejiro Vivian Agboro-idahosa, MD - Medicare Psychiatry in Elmira, NY

Dr Ejiro Vivian Agboro-idahosa, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Elmira, New York. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Waverly Medical Associates Llc and her current practice location is 555 Saint Josephs Blvd, Elmira, New York. You can reach out to her office (for appointments etc.) via phone at (607) 737-7002.

Dr Ejiro Vivian Agboro-idahosa is licensed to practice in Iowa (license number 38473) 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 1104089390.

Contact Information

Dr Ejiro Vivian Agboro-idahosa, MD
555 Saint Josephs Blvd,
Elmira, NY 14901-3223
(607) 737-7002
(607) 737-1529

Map and Direction




Physician's Profile

Full NameDr Ejiro Vivian Agboro-idahosa
GenderFemale
SpecialityPsychiatry
Experience30 Years
Location555 Saint Josephs Blvd, Elmira, New York
Accepts Medicare AssignmentsYes. 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 Ejiro Vivian Agboro-idahosa graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1104089390
  • Provider Enumeration Date: 07/08/2008
  • Last Update Date: 06/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1355495649
  • Enrollment ID: I20150617001896

Medical Identifiers

Medical identifiers for Dr Ejiro Vivian Agboro-idahosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104089390NPI-NPPES
38473OtherIAIOWA LICENSE
275859OtherNYSTATE LICENSE
1243767OtherIACONTROLLED SUBSTANCE CERTIFICATE
04061661MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 38473 (Iowa)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 38473 (Iowa)Primary
2084P0800XPsychiatry & Neurology - Psychiatry 275859 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Waverly Medical Associates Llc05475895412

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 Ejiro Vivian Agboro-idahosa allows following entities to bill medicare on her behalf.
Entity NameWaverly Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457757486
PECOS PAC ID: 0547589541
Enrollment ID: O20150424000126

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 Ejiro Vivian Agboro-idahosa 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 AddressPractice Location Address
Dr Ejiro Vivian Agboro-idahosa, MD
571 Saint Josephs Blvd Fl 2,
Elmira, NY 14901-3230

Ph: (607) 271-2050
Dr Ejiro Vivian Agboro-idahosa, MD
555 Saint Josephs Blvd,
Elmira, NY 14901-3223

Ph: (607) 737-7002

Reviews and Comments


Psychiatry & Neurology Doctors in Elmira, NY

Miss April Laverne Roberts, DO
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 100 N Main Street, Suite 200, Elmira, NY 14901
Phone: 607-735-9878    Fax: 607-735-9877
Dr. Albert K Chen, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 361 W Water St, Elmira, NY 14905
Phone: 607-733-0780    
Hannah Rose Bushnell, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 571 Saint Josephs Blvd Ste 304, Elmira, NY 14901
Phone: 607-737-7012    Fax: 607-735-5594
Shahindokht Buchan, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 100 Washington St, Elmira, NY 14901
Phone: 607-737-4810    
Ms. Chunying Xu, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 555 Saint Josephs Blvd, Elmira, NY 14901
Phone: 607-733-6541    Fax: 607-737-7529
William George, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 571 Saint Josephs Blvd Ste 304, Elmira, NY 14901
Phone: 607-737-7012    Fax: 607-733-5594

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.