Dr Emmanuel Nosa Obanor, DO - Medicare Gastroenterology in Lodi, CA

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Dr Emmanuel Nosa Obanor, DO is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Lodi, California. He graduated from medical school in 1995 and has 31 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Amplehealth, County Of San Joaquin and his current practice location is 999 S Fairmont Ave, Suite 125, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 334-8514.

Dr Emmanuel Nosa Obanor is licensed to practice in California (license number 20A6988) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689615007.

Contact Information

Dr Emmanuel Nosa Obanor, DO
999 S Fairmont Ave, Suite 125,
Lodi, CA 95240-5100
(209) 334-8514
(209) 366-2661

Map and Direction




Physician's Profile

Full NameDr Emmanuel Nosa Obanor
GenderMale
SpecialityGastroenterology
Experience31 Years
Location999 S Fairmont Ave, Lodi, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Emmanuel Nosa Obanor graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1689615007
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 04/04/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2365582418
  • Enrollment ID: I20091221000456

Medical Identifiers

Medical identifiers for Dr Emmanuel Nosa Obanor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689615007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 20A6988 (California)Secondary
207RG0100XInternal Medicine - Gastroenterology 20A6988 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Joaquin General HospitalFrench camp, CAHospital
St Joseph's Medical Center Of StocktonStockton, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amplehealth125434461711
County Of San Joaquin6002703436161

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 Emmanuel Nosa Obanor allows following entities to bill medicare on his behalf.
Entity NameCounty Of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameSan Joaquin Faculty Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742
Entity NameAmplehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508899758
PECOS PAC ID: 1254344617
Enrollment ID: O20060801000376
Entity NameVibra Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659705424
PECOS PAC ID: 8921233933
Enrollment ID: O20140325000558

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 Emmanuel Nosa Obanor 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 Emmanuel Nosa Obanor, DO
Po Box 241011,
Lodi, CA 95241-9511

Ph: (209) 339-7435		Dr Emmanuel Nosa Obanor, DO
999 S Fairmont Ave, Suite 125,
Lodi, CA 95240-5100

Ph: (209) 334-8514

Reviews and Comments


Internal Medicine Doctors in Lodi, CA

Frank T Huang, MD
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Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240
Phone: 209-334-8520    Fax: 209-334-2109
Dr. Tarandeep Singh Arora, MD
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Practice Location: 999 S Fairmont Ave Ste 130, Lodi, CA 95240
Phone: 209-366-2001    
Harpreet Singh Parmar, MD
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Practice Location: 999 S Fairmont Ave Ste 130, Lodi, CA 95240
Phone: 209-366-2001    
Dr. Ghaus M Malik, MD
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Practice Location: 12945 N Highway 88, Lodi, CA 95240
Phone: 209-334-3923    Fax: 209-334-3985
Dr. Than Soe, M.D.
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Phone: 209-333-3121    
Mani Mahdyoon, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 845 S Fairmont Ave Ste 5, Lodi, CA 95240
Phone: 209-366-2360    Fax: 209-366-2352
Khaleeq Hussain Siddiqui, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 621 S Ham Ln Ste A, Lodi, CA 95242
Phone: 209-334-8514    

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.