| Kosisochukwu Nkenna Anago, MD | |
|
205 Ne 2nd St, Okeechobee, FL 34972-2974 | |
| (561) 985-0433 | |
| (888) 508-5497 |
| Full Name | Kosisochukwu Nkenna Anago |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 11 Years |
| Location | 205 Ne 2nd St, Okeechobee, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639564263 | NPI | - | NPPES |
| 101899600 | Medicaid | FL | |
| 14290897 | Other | FL | CAQH |
| AHYOI | Other | FL | FLORIDA BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME137136 (Florida) | Secondary |
| 208M00000X | Hospitalist | ME137136 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martin Memorial Medical Center Inc | 2961300611 | 445 |
| Entity Name | Martin Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194790055 PECOS PAC ID: 2961300611 Enrollment ID: O20031222000241 |
| Entity Name | Martin Memorial Physician Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
| Entity Name | Northeast Florida Hospitalists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013036219 PECOS PAC ID: 2466544663 Enrollment ID: O20070817000145 |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Entity Name | L.o.t. Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619367976 PECOS PAC ID: 0648560573 Enrollment ID: O20160606002526 |
| Mailing Address | Practice Location Address |
|---|---|
| Kosisochukwu Nkenna Anago, MD 11924 Forest Hill Blvd # 10a-243, Wellington, FL 33414-6256 Ph: (561) 693-5143 | Kosisochukwu Nkenna Anago, MD 205 Ne 2nd St, Okeechobee, FL 34972-2974 Ph: (561) 985-0433 |