Enehomere I Okoruwa, MD in Council Bluffs, IA

Enehomere I Okoruwa, MD is a medicare enrolled "Pediatrics" physician in Council Bluffs, Iowa. Her current practice location is 3135 W Broadway, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 328-9100.

Enehomere I Okoruwa is licensed to practice in Iowa (license number 30593) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568512564.

Contact Information

	Enehomere I Okoruwa, MD
	3135 W Broadway, Council Bluffs, IA 51501-3359
	(712) 328-9100
	Not Available

Map and Direction

Physician's Profile

Full Name	Enehomere I Okoruwa
Gender	Female
Speciality	Pediatrics
Location	3135 W Broadway, Council Bluffs, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568512564
Provider Enumeration Date: 01/11/2007
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 4082622030
Enrollment ID: I20060403000088

Medical Identifiers

Medical identifiers for Enehomere I Okoruwa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568512564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	30593 (Iowa)	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. Enehomere I Okoruwa allows following entities to bill medicare on her behalf.

Entity Name	Alegent Creighton Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598811069 PECOS PAC ID: 1951210418 Enrollment ID: O20040116000817

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. Enehomere I Okoruwa 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
Enehomere I Okoruwa, MD 3135 W Broadway, Council Bluffs, IA 51501-3359 Ph: (712) 328-9100	Enehomere I Okoruwa, MD 3135 W Broadway, Council Bluffs, IA 51501-3359 Ph: (712) 328-9100

Reviews and Comments

Pediatrics Doctors in Council Bluffs, IA

Philip Walter Meyer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Ridge St, Suite 314, Council Bluffs, IA 51503 Phone: 712-322-0253 Fax: 712-322-5273
Dr. Dennis Jones, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1326 Skyline Dr, Council Bluffs, IA 51503 Phone: 712-396-4310
Scott B Bomgaars, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Ridge St, Suite 105, Council Bluffs, IA 51503 Phone: 712-396-5437
Dr. Andrew Maxwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Edmundson Pl, Council Bluffs, IA 51503 Phone: 712-396-4310 Fax: 712-396-7069
Dr. Shawn D Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Edmundson Pl, Council Bluffs, IA 51503 Phone: 712-396-4310 Fax: 712-396-7069

Enehomere I Okoruwa, MD - Medicare Pediatrics in Council Bluffs, IA