Okechukwu Matthew Ofodile, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Largo, Maryland. His current practice location is
901 Harry S Truman Dr N, Largo, Maryland. You can reach out to his office (for appointments etc.) via phone at
(240) 677-2700.
Okechukwu Matthew Ofodile is licensed to practice in Maryland (license number R215860) 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 1053078253.
Physician's Profile
Full Name | Okechukwu Matthew Ofodile |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 901 Harry S Truman Dr N, Largo, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053078253
- Provider Enumeration Date: 11/22/2021
- Last Update Date: 06/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769911718
- Enrollment ID: I20250121002752
Medical Identifiers
Medical identifiers for Okechukwu Matthew Ofodile such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053078253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | R215860 (Maryland) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95031720 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R215860 (Maryland) | Primary |
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. Okechukwu Matthew Ofodile allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. Okechukwu Matthew Ofodile 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 |
Okechukwu Matthew Ofodile, CRNP 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (240) 677-2700 | Okechukwu Matthew Ofodile, CRNP 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (240) 677-2700 |
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