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

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 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Emory Specialty Associates, 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 Name	Itauma Udosen
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	2745 Dekalb Medical Pkwy Ste 110, Lithonia, Georgia
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1265793616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	078910 (Georgia)	Secondary
207QS0010X	Family Medicine - Sports Medicine	78910 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emory Hillandale Hospital	Lithonia, GA	Hospital
Emory University Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emory Specialty Associates, Llc	3476559782	430

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 Name	Emory Specialty Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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: Accepting Medicare Assignments 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: Medicare Enrolled 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: Medicare Enrolled 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: Accepting Medicare Assignments 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

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