Dr Kim Chiedozi Ohaegbulam, MD, PHD in Forest Hills, NY

Dr Kim Chiedozi Ohaegbulam, MD, PHD is a medicare enrolled "General Practice" physician in Forest Hills, New York. His current practice location is 102-01 66th Rd, Department Of Medicine, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at (718) 830-4000.

Dr Kim Chiedozi Ohaegbulam is licensed to practice in Virginia (license number 0101277423) 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 1326508409.

Contact Information

	Dr Kim Chiedozi Ohaegbulam, MD, PHD
	102-01 66th Rd, Department Of Medicine, Forest Hills, NY 11375
	(718) 830-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kim Chiedozi Ohaegbulam
Gender	Male
Speciality	General Practice
Location	102-01 66th Rd, Forest Hills, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326508409
Provider Enumeration Date: 03/23/2019
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 0547684961
Enrollment ID: I20230131000165

Medical Identifiers

Medical identifiers for Dr Kim Chiedozi Ohaegbulam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326508409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0101277423 (Virginia)	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 Kim Chiedozi Ohaegbulam allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383

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 Kim Chiedozi Ohaegbulam 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 Kim Chiedozi Ohaegbulam, MD, PHD 102-01 66th Rd, Department Of Medicine, Forest Hills, NY 11375 Ph: (718) 830-4000	Dr Kim Chiedozi Ohaegbulam, MD, PHD 102-01 66th Rd, Department Of Medicine, Forest Hills, NY 11375 Ph: (718) 830-4000

Reviews and Comments

General Practice Doctors in Forest Hills, NY

Dr. Sunil C Patel, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 6860 Austin St, Suite 402, Forest Hills, NY 11375 Phone: 718-925-6200 Fax: 718-925-6210
Dr. Soniya Mathew, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6970 Grand Central Pkwy, Forest Hills, NY 11375 Phone: 718-583-7736 Fax: 718-537-6180
Dr. Ugonna Robert Azode, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6970 Grand Central Pkwy, Forest Hills, NY 11375 Phone: 469-473-9627
Dr. Walter Andrew Medina Sr., D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6370 110th St, Forest Hills, NY 11375 Phone: 718-833-8052 Fax: 718-833-8968
Rauf Baamisor Babilsie, MD General Practice Medicare: Medicare Enrolled Practice Location: 6970 Grand Central Pkwy, Forest Hills, NY 11375 Phone: 718-263-4600
Dr. Hoorbod Delshadfar, General Practice Medicare: Accepting Medicare Assignments Practice Location: 6902 Austin St 2, Forest Hills, NY 11375 Phone: 718-793-6800 Fax: 347-392-4179

Dr Kim Chiedozi Ohaegbulam, MD, PHD - Medicare General Practice in Forest Hills, NY