Mary O Ubanwa, MD is a medicare enrolled "Hospitalist" physician in Michigan City, Indiana. Her current practice location is
3500 Franciscan Way, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 879-8511.
Mary O Ubanwa is licensed to practice in Indiana (license number 01056232A) 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 1548282668.
Physician's Profile
| Full Name | Mary O Ubanwa |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3500 Franciscan Way, Michigan City, Indiana |
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| Accepts Medicare Assignments | Yes. She 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:
- Mary O Ubanwa attended and graduated from in
NPI Data:
- NPI Number: 1548282668
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 10/09/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mary O Ubanwa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548282668 | NPI | - | NPPES |
| 000000722209 | Other | IN | ANTHEM TRADITIONAL |
| 616679523 | Other | IN | DEPARTMENT OF LABOR |
| 200396780 | Medicaid | IN | |
| P01050911 | Other | IN | MEDICARE RR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 01056232A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01056232A (Indiana) | Primary |
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. Mary O Ubanwa 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 |
|---|
Mary O Ubanwa, MD
Po Box 781076,
Detroit, MI 48278-1076
Ph: (317) 528-4800 | Mary O Ubanwa, MD
3500 Franciscan Way,
Michigan City, IN 46360-0021
Ph: (219) 879-8511 |
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