Dr Stacey Ikebudu, MD - Medicare Internal Medicine in Kennesaw, GA

Dr Stacey Ikebudu, MD is a medicare enrolled "Internal Medicine" physician in Kennesaw, Georgia. She went to Morehouse School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice 24 On Physicians Pc, Allatoona Physician Services Pc and her current practice location is 2985 Mack Dobbs Rd Nw, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 914-0116.

Dr Stacey Ikebudu is licensed to practice in Georgia (license number 91580) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033772298.

Contact Information

Dr Stacey Ikebudu, MD
2985 Mack Dobbs Rd Nw,
Kennesaw, GA 30152-2641
(770) 914-0116
(770) 955-4278

Map and Direction




Physician's Profile

Full NameDr Stacey Ikebudu
GenderFemale
SpecialityInternal Medicine
Experience7 Years
Location2985 Mack Dobbs Rd Nw, Kennesaw, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stacey Ikebudu attended and graduated from Morehouse School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1033772298
  • Provider Enumeration Date: 04/15/2019
  • Last Update Date: 04/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1951710532
  • Enrollment ID: I20221011000935

Medical Identifiers

Medical identifiers for Dr Stacey Ikebudu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033772298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 41924 (Alabama)Secondary
207R00000XInternal Medicine 91580 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Floyd Medical CenterRome, GAHospital
Piedmont HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
24 On Physicians Pc5698688141277
Allatoona Physician Services Pc751734257931

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 Stacey Ikebudu allows following entities to bill medicare on her behalf.
Entity Name24 On Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912956251
PECOS PAC ID: 5698688141
Enrollment ID: O20031216000444
Entity NameV Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699441162
PECOS PAC ID: 1355748013
Enrollment ID: O20210922001723
Entity NameAllatoona Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497482350
PECOS PAC ID: 7517342579
Enrollment ID: O20220913000203

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 Stacey Ikebudu 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 Stacey Ikebudu, MD
Po Box 746765,
Atlanta, GA 30374-6765

Ph: (770) 914-0116
Dr Stacey Ikebudu, MD
2985 Mack Dobbs Rd Nw,
Kennesaw, GA 30152-2641

Ph: (770) 914-0116

Reviews and Comments


Internal Medicine Doctors in Kennesaw, GA

Dr. Ryan Mathew, M.D.
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Phone: 770-284-3150    
Mridula Vinjamuri, M.D.
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Practice Location: 187 Chastain Rd Ne, Suite 250, Kennesaw, GA 30144
Phone: 770-218-6450    
Angel M Cobiella, MD MBA
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Medicare: Not Enrolled in Medicare
Practice Location: 750 Townpark Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144
Phone: 770-514-5403    Fax: 770-514-5493
Kaleigh Herron, NP
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 187 Chastain Rd Nw Ste 250, Kennesaw, GA 30144
Phone: 770-218-6450    
Dr. Marshall Fleurant, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144
Phone: 770-514-5401    Fax: 617-414-1577
Dr. Ndidiamaka O Obadan, M.D.,MS
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3105 Creekside Village Dr Nw Ste 801, Kennesaw, GA 30144
Phone: 404-566-4623    

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.