| Okwuolisa Amechi Ikediobi, MD | |
|
333 Cottman Ave, Philadelphia, PA 19111-2434 | |
| (215) 728-2844 | |
| (215) 214-1425 |
| Full Name | Okwuolisa Amechi Ikediobi |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 333 Cottman Ave, Philadelphia, Pennsylvania |
| 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 |
|---|---|---|---|
| 1326203035 | NPI | - | NPPES |
| VAD000 | Other | TN | FEDERAL UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD444511 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | MD444511 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 44375 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moorestown Visiting Nurse Association | Moorestown, NJ | Home health agency |
| Temple University Hospital | Philadelphia, PA | Hospital |
| St Lawrence Rehab Center | Lawrenceville, NJ | Nursing home |
| Masonic Village At Burlington | Burlington, NJ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Temple Physicians Inc | 2062317233 | 141 |
| Inhospital Physicians Corp | 3779888110 | 16 |
| Inhospital Physicians Corp Of New Jersey, Pc | 2264781780 | 23 |
| Entity Name | Mercer Bucks Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952485971 PECOS PAC ID: 9133024508 Enrollment ID: O20031201000069 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Temple Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942444088 PECOS PAC ID: 2062317233 Enrollment ID: O20040310000054 |
| Entity Name | Lancaster General Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1730323759 PECOS PAC ID: 1254240039 Enrollment ID: O20090710000234 |
| Entity Name | Fox Chase Cancer Center Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054 |
| Entity Name | Suburban Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20151026000795 |
| Entity Name | Inhospital Physicians Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073971750 PECOS PAC ID: 3779888110 Enrollment ID: O20160224000067 |
| Entity Name | Temple Faculty Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Okwuolisa Amechi Ikediobi, MD 2500 Maryland Rd, Ste 400, Willow Grove, PA 19090-1225 Ph: (215) 728-6900 | Okwuolisa Amechi Ikediobi, MD 333 Cottman Ave, Philadelphia, PA 19111-2434 Ph: (215) 728-2844 |
Chelsea Tiffany Salas-tam, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2940 N 5th St, Philadelphia, PA 19133 Phone: 215-302-3600 | |
Kunal Anandpara, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11000 Roosevelt Blvd, Philadelphia, PA 19116 Phone: 215-677-1475 Fax: 215-677-3082 | |
Joshua George, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-324-0600 Fax: 215-324-2795 | |
Eugenie Michel Hughes, Family Medicine Medicare: Medicare Enrolled Practice Location: 833 Chestnut St Ste 301, Philadelphia, PA 19107 Phone: 215-955-2363 Fax: 215-955-8600 | |
Meng-chao Lee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 Central Ave Ste 104, Philadelphia, PA 19111 Phone: 215-742-0712 Fax: 215-742-5218 | |
Carol Bowes-lawlor, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 33 E Chestnut Hill Ave, Philadelphia, PA 19118 Phone: 215-753-9080 Fax: 215-753-8830 | |
Dr. Denise Hamilton Christian, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 251 E Bringhurst St, Philadelphia, PA 19144 Phone: 215-844-1020 Fax: 215-844-8147 |