Eteakamba Udoh, MD in Altus, OK - Medicare Obstetrics & Gynecology

Eteakamba Udoh, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Altus, Oklahoma. His current practice location is 101 S Park Ln, Altus, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 379-6140.

Eteakamba Udoh is licensed to practice in Oklahoma (license number 33569) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063612885.

Contact Information

	Eteakamba Udoh, MD
	101 S Park Ln, Altus, OK 73521
	(580) 379-6140
	(580) 379-6149

Map and Direction

Physician's Profile

Full Name	Eteakamba Udoh
Gender	Male
Speciality	Obstetrics & Gynecology
Location	101 S Park Ln, Altus, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063612885
Provider Enumeration Date: 07/19/2007
Last Update Date: 07/27/2018

Medicare PECOS Information:

PECOS PAC ID: 5496972044
Enrollment ID: I20140829000331

Medical Identifiers

Medical identifiers for Eteakamba Udoh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063612885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	33569 (Oklahoma)	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. Eteakamba Udoh allows following entities to bill medicare on his behalf.

Entity Name	Obhg Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972807394 PECOS PAC ID: 9436323342 Enrollment ID: O20111110000430

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. Eteakamba Udoh 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
Eteakamba Udoh, MD 101 S Park Ln, Altus, OK 73521-5731 Ph: (580) 379-6140	Eteakamba Udoh, MD 101 S Park Ln, Altus, OK 73521 Ph: (580) 379-6140

Reviews and Comments

Obstetrics & Gynecology Doctors in Altus, OK

Latoya Teresina Smith, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149
Pamela J Hyde, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149
Julia Rivera-figueroa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149
Anibal Mikjail Avila, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149
George S Massingill, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 101 S Park Ln Ste 200, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149
Dr. Vicente Yamil Sanchez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149

Eteakamba Udoh, MD - Medicare Obstetrics & Gynecology in Altus, OK