Ebenezer Kofi Bentum Odoom, MD | |
182-19 Horace Harding Expressway, Fresh Meadows, NY 11365 | |
(718) 670-2903 | |
(516) 437-4167 |
Full Name | Ebenezer Kofi Bentum Odoom |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 182-19 Horace Harding Expressway, Fresh Meadows, New York |
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 |
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1154416691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 230787-1 (New York) | Primary |
Entity Name | Ebenezer Odoom Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942642038 PECOS PAC ID: 5597991935 Enrollment ID: O20131113001552 |
Entity Name | Primary Partnercare Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891318168 PECOS PAC ID: 9638593585 Enrollment ID: O20200723003709 |
Mailing Address | Practice Location Address |
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Ebenezer Kofi Bentum Odoom, MD Po Box 27842, New York, NY 10087 Ph: (718) 670-1651 | Ebenezer Kofi Bentum Odoom, MD 182-19 Horace Harding Expressway, Fresh Meadows, NY 11365 Ph: (718) 670-2903 |
Sabiha Akter, Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 6136 170th St Apt M4, Fresh Meadows, NY 11365 Phone: 718-709-0940 | |
Dr. Eli Menachemi, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 19303 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-468-6600 | |
Jack Angelo Pasquale, M.D. Geriatric Medicine Medicare: May Accept Medicare Assignments Practice Location: 7303 198th St, Fresh Meadows, NY 11366 Phone: 718-465-0041 Fax: 718-465-4224 | |
Mohammad Amanullah Sheikh, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6136 170th St Apt M4, Fresh Meadows, NY 11365 Phone: 646-372-0870 Fax: 516-441-6788 | |
Dr. Yujin Lim, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 17415 Horace Harding Expy Fl 2, Fresh Meadows, NY 11365 Phone: 718-762-3111 | |
Adenike Rasheedat Sulaiman, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 6136 170th St Apt M4, Fresh Meadows, NY 11365 Phone: 402-973-4005 | |
Dr. Cynthia Pan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5907 175th Pl, 2nd Floor, Fresh Meadows, NY 11365 Phone: 718-939-2273 Fax: 718-746-6168 |