Ginikachukwu Biko Ikwuezunma, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Mt Juliet, Tennessee. His current practice location is
325 Old Pleasant Grove Rd, Mt Juliet, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(629) 255-2053.
Ginikachukwu Biko Ikwuezunma is licensed to practice in Tennessee (license number 64097) 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 1689084352.
Physician's Profile
| Full Name | Ginikachukwu Biko Ikwuezunma |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery |
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| Location | 325 Old Pleasant Grove Rd, Mt Juliet, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689084352
- Provider Enumeration Date: 05/05/2014
- Last Update Date: 02/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 7517358880
- Enrollment ID: I20211221000269
Medical Identifiers
Medical identifiers for Ginikachukwu Biko Ikwuezunma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689084352 | NPI | - | NPPES |
| Q070222 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 64097 (Tennessee) | 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. Ginikachukwu Biko Ikwuezunma allows following entities to bill medicare on his behalf.
| Entity Name | Pediatrix Medical Group Of Tennessee, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497852107
PECOS PAC ID: 2668538265
Enrollment ID: O20090305000758 |
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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. Ginikachukwu Biko Ikwuezunma 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 |
|---|
Ginikachukwu Biko Ikwuezunma, MD
222 22nd Ave N,
Nashville, TN 37203-1852
Ph: (629) 255-3486 | Ginikachukwu Biko Ikwuezunma, MD
325 Old Pleasant Grove Rd,
Mt Juliet, TN 37122-4493
Ph: (629) 255-2053 |
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