Obinna I Maduka, MD is a medicare enrolled "Pediatrics" physician in North Windham, Connecticut. He graduated from medical school in 1979 and has 46 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Prohealth Physicians Pc and his current practice location is
387 Tuckie Rd Ste C, North Windham, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 456-1279.
Obinna I Maduka is licensed to practice in Connecticut (license number 037518) 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 1710065917.
Physician's Profile
| Full Name | Obinna I Maduka |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 46 Years |
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| Location | 387 Tuckie Rd Ste C, North Windham, Connecticut |
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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. |
Medical Education and Training:
- Obinna I Maduka graduated from medical school in 1979
NPI Data:
- NPI Number: 1710065917
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002846409
- Enrollment ID: I20050817000185
Medical Identifiers
Medical identifiers for Obinna I Maduka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710065917 | NPI | - | NPPES |
| 001375189 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 037518 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Prohealth Physicians Pc | 1355246950 | 199 |
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. Obinna I Maduka allows following entities to bill medicare on his behalf.
| Entity Name | Prohealth Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
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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. Obinna I Maduka 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 |
Obinna I Maduka, MD 387 Tuckie Rd Ste C, North Windham, CT 06256-1355 Ph: (860) 456-1279 | Obinna I Maduka, MD 387 Tuckie Rd Ste C, North Windham, CT 06256-1355 Ph: (860) 456-1279 |
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