Kachikwulu Akobundu Ajulu, is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Syracuse, New York. His current practice location is
750 E Adams St, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 464-3165.
Kachikwulu Akobundu Ajulu is licensed to practice in Texas (license number V5957) 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 1588284632.
Physician's Profile
| Full Name | Kachikwulu Akobundu Ajulu |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 750 E Adams St, Syracuse, New York |
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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: 1588284632
- Provider Enumeration Date: 04/19/2020
- Last Update Date: 08/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042757007
- Enrollment ID: I20240808000455
Medical Identifiers
Medical identifiers for Kachikwulu Akobundu Ajulu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588284632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | V5957 (Texas) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 327536 (New York) | Secondary |
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. Kachikwulu Akobundu Ajulu allows following entities to bill medicare on his behalf.
| Entity Name | St Josephs Hospital Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400 |
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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. Kachikwulu Akobundu Ajulu 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 |
|---|
Kachikwulu Akobundu Ajulu,
8249 Dampier Cir,
Liverpool, NY 13090-4104
Ph: (404) 310-0821 | Kachikwulu Akobundu Ajulu,
750 E Adams St,
Syracuse, NY 13210-2306
Ph: (315) 464-3165 |
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