Itauma Udosen, DO - Medicare Family Practice in Lithonia, GA

  1. Home
  2. Family Medicine
  3. GA
  4. Lithonia
Itauma Udosen, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Lithonia, Georgia. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Emory Specialty Associates, Llc, Esop Rehabilitation Llc and her current practice location is 2745 Dekalb Medical Pkwy Ste 110, Lithonia, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 593-2382.

Itauma Udosen is licensed to practice in Georgia (license number 78910) 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 1265793616.

Contact Information

Itauma Udosen, DO
2745 Dekalb Medical Pkwy Ste 110,
Lithonia, GA 30058-4933
(770) 593-2382
(678) 514-2527

Map and Direction




Physician's Profile

Full NameItauma Udosen
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location2745 Dekalb Medical Pkwy Ste 110, Lithonia, 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:
  • Itauma Udosen attended and graduated from Philadelphia College Of Osteopathic Medicine in 2012
  NPI Data:
  • NPI Number: 1265793616
  • Provider Enumeration Date: 06/01/2012
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062637739
  • Enrollment ID: I20171017000872

Medical Identifiers

Medical identifiers for Itauma Udosen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265793616NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 078910 (Georgia)Secondary
207QS0010XFamily Medicine - Sports Medicine 78910 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory Hillandale HospitalLithonia, GAHospital
Emory University Hospital MidtownAtlanta, GAHospital
Emory Decatur HospitalDecatur, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emory Specialty Associates, Llc3476559782515
Esop Rehabilitation Llc9739305749181

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. Itauma Udosen allows following entities to bill medicare on her behalf.
Entity NameEmory Specialty Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447

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. Itauma Udosen 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
Itauma Udosen, DO
2745 Dekalb Medical Pkwy Ste 110,
Lithonia, GA 30058-4933

Ph: (770) 593-2382		Itauma Udosen, DO
2745 Dekalb Medical Pkwy Ste 110,
Lithonia, GA 30058-4933

Ph: (770) 593-2382

Reviews and Comments


Family Medicine Doctors in Lithonia, GA

Dr. Eric Wilson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5440 Hillandale Dr, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058
Phone: 770-322-2777    Fax: 706-549-5981
Dr. Clarice Marijetta Bell, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058
Phone: 770-322-9660    Fax: 770-322-1981
Martin A Dixon, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8225 Mall Pkwy, Suite 100, Lithonia, GA 30038
Phone: 770-981-2100    Fax: 770-808-8445
Jerome D. Homish, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7231 Rockbridge Rd, Lithonia, GA 30058
Phone: 678-710-9270    Fax: 470-365-2880
Dr. Gregory O Zakers, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5910 Hillandale Dr, Lithonia, GA 30058
Phone: 404-501-8733    
Dr. Vivin Mathew, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058
Phone: 404-501-8000    

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.