Dr Kwami Delali Agbodza, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Jackson, New Jersey. He graduated from medical school in 1983 and has 43 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Bluewater Emergency Partners Of Brunswick, Llc, Delphi Healthcare Pllc and his current practice location is
15 Westlake Ct, Jackson, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 961-6453.
Dr Kwami Delali Agbodza is licensed to practice in New York (license number 20436001) 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 1831190172.
Physician's Profile
| Full Name | Dr Kwami Delali Agbodza |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 43 Years |
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| Location | 15 Westlake Ct, Jackson, New Jersey |
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| Accepts Medicare Assignments | Yes. He 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 Kwami Delali Agbodza graduated from medical school in 1983
NPI Data:
- NPI Number: 1831190172
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 07/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951389501
- Enrollment ID: I20250916000734
Medical Identifiers
Medical identifiers for Dr Kwami Delali Agbodza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831190172 | NPI | - | NPPES |
| 6420109 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 9500799 (North Carolina) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 20436001 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bluewater Emergency Partners Of Brunswick, Llc | 3375774227 | 148 |
| Delphi Healthcare Pllc | 9537229661 | 64 |
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 Kwami Delali Agbodza 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 Kwami Delali Agbodza, MD
15 Westlake Ct,
Jackson, NJ 08527-5160
Ph: (732) 961-6453 | Dr Kwami Delali Agbodza, MD
15 Westlake Ct,
Jackson, NJ 08527-5160
Ph: (732) 961-6453 |
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