| Dr Nowoghomwenma Charles Ibie, MD | |
|
207 Haven Dr, Dothan, AL 36301-2919 | |
| (334) 793-3319 | |
| (334) 793-2291 |
| Full Name | Dr Nowoghomwenma Charles Ibie |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 207 Haven Dr, Dothan, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073742953 | NPI | - | NPPES |
| 511-12500 | Other | AL | BCBS |
| 125314 | Medicaid | AL | |
| 1073742953 | Other | AL | TRICARE SOUTH |
| Z14079 | Other | AL | VIVA HEALTH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dci Enterprise | Enterprise, AL | Dialysis facility |
| Davita Enterprise | Enterprise, AL | Dialysis facility |
| Usrc Voldosta Home Program, Llc | Valdosta, GA | Dialysis facility |
| Eufaula Dialysis | Eufaula, AL | Dialysis facility |
| Renal Treatment Centers Southeast Lp | Eufaula, AL | Dialysis facility |
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Flowers Hospital | Dothan, AL | Hospital |
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Northwest Florida Community Hospital | Chipley, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dothan Hypertension Nephrology Associates | 5991746661 | 11 |
| Entity Name | State Of Alabama Department Of Finance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619190998 PECOS PAC ID: 5698684090 Enrollment ID: O20031205000194 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040615000906 |
| Entity Name | Dothan Hypertension Nephrology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013018407 PECOS PAC ID: 5991746661 Enrollment ID: O20050822000909 |
| Entity Name | Greater Mobile Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801063938 PECOS PAC ID: 1456429281 Enrollment ID: O20081007000622 |
| Entity Name | Northern Alabama Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669618310 PECOS PAC ID: 0143379388 Enrollment ID: O20090519000375 |
| Entity Name | Southland Hospitalist At Ozark, Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750608949 PECOS PAC ID: 2769513167 Enrollment ID: O20100629000518 |
| Entity Name | Gmuc Of Springhill Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952617508 PECOS PAC ID: 6901091156 Enrollment ID: O20101112000731 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nowoghomwenma Charles Ibie, MD 207 Haven Dr, Dothan, AL 36301-2919 Ph: (334) 793-3319 | Dr Nowoghomwenma Charles Ibie, MD 207 Haven Dr, Dothan, AL 36301-2919 Ph: (334) 793-3319 |
Meagan Self Hoggle, DO Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203 | |
Parks Winfield Pratt Iii, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907 | |
Mr. Rodney K Beauchamp, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004 | |
Brian Reynolds Sinclair, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401 | |
Dr. Olawale Mayokun Osunsanya, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
Nikki Ilona Broussard, CRNP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 337-793-3319 | |
Jeffrey John Crittenden, MD Nephrology Medicare: Medicare Enrolled Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888 |