Kanayo K Odeluga, MD, MPH is a medicare enrolled "General Practice" physician in East Chicago, Indiana. His current practice location is
915 W Chicago Ave, East Chicago, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 397-6000.
Kanayo K Odeluga is licensed to practice in Indiana (license number 01047947) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023173895.
Physician's Profile
| Full Name | Kanayo K Odeluga |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 915 W Chicago Ave, East Chicago, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kanayo K Odeluga attended and graduated from in
NPI Data:
- NPI Number: 1023173895
- Provider Enumeration Date: 12/22/2006
- Last Update Date: 03/21/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kanayo K Odeluga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023173895 | NPI | - | NPPES |
| 000000D93250 | Other | | ANTHEM BCBS |
| 036092504 | Other | IL | IL DEPT OF HEALTHCARE & F |
| 080148350 | Other | | PALMETTO GBA MEDI |
| 10593989 | Other | | CAQH |
| 200195020 | Medicaid | IN | |
| 01047947 | Other | IN | LICENSING BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 01047947 (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 036092504 (Illinois) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 01047947 (Indiana) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 036092504 (Illinois) | Secondary |
| 208D00000X | General Practice | 01047947 (Indiana) | Primary |
| 208D00000X | General Practice | 036092504 (Illinois) | Secondary |
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. Kanayo K Odeluga 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 |
|---|
Kanayo K Odeluga, MD, MPH
915 W Chicago Ave,
East Chicago, IN 46312-3308
Ph: (219) 397-6000 | Kanayo K Odeluga, MD, MPH
915 W Chicago Ave,
East Chicago, IN 46312
Ph: (219) 397-6000 |
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