Dr Odilichi Ezenwanne, MD in Tunica, MS - Medicare Family Practice

Dr Odilichi Ezenwanne, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Tunica, Mississippi. He graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aaron E Henry Community Health and his current practice location is 1820 Peabody St, Tunica, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 363-3656.

Dr Odilichi Ezenwanne is licensed to practice in Wisconsin (license number 67275) 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 1841504206.

Contact Information

	Dr Odilichi Ezenwanne, MD
	1820 Peabody St, Tunica, MS 38676-9441
	(662) 363-3656
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Odilichi Ezenwanne
Gender	Male
Speciality	Family Practice
Experience	24 Years
Location	1820 Peabody St, Tunica, Mississippi
Accepts Medicare Assignments	Yes. 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 Odilichi Ezenwanne graduated from medical school in 2001

NPI Data:

NPI Number: 1841504206
Provider Enumeration Date: 07/27/2010
Last Update Date: 02/18/2020

Medicare PECOS Information:

PECOS PAC ID: 6406127265
Enrollment ID: I20191220001793

Medical Identifiers

Medical identifiers for Dr Odilichi Ezenwanne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841504206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	27125 (Mississippi)	Secondary
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	67275 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aaron E Henry Community Health	1153230560	10

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 Odilichi Ezenwanne allows following entities to bill medicare on his behalf.

Entity Name	Aaron E Henry Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003814104 PECOS PAC ID: 1153230560 Enrollment ID: O20040330001267

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 Odilichi Ezenwanne 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 Odilichi Ezenwanne, MD 1820 Peabody St, Tunica, MS 38676-9441 Ph: (662) 363-3656	Dr Odilichi Ezenwanne, MD 1820 Peabody St, Tunica, MS 38676-9441 Ph: (662) 363-3656

Dr Odilichi Ezenwanne, MD - Medicare Family Practice in Tunica, MS