Osariemen Osaikhuwuomwan, MD in Evanston, IL

Osariemen Osaikhuwuomwan, MD is a medicare enrolled "Family Medicine" physician in Evanston, Illinois. Her current practice location is 2650 Ridge Ave Ste 1223, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 982-3365.

Osariemen Osaikhuwuomwan is licensed to practice in Illinois (license number 036165937) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730701582.

Contact Information

	Osariemen Osaikhuwuomwan, MD
	2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700
	(847) 982-3365
	Not Available

Map and Direction

Physician's Profile

Full Name	Osariemen Osaikhuwuomwan
Gender	Female
Speciality	Family Medicine
Location	2650 Ridge Ave Ste 1223, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730701582
Provider Enumeration Date: 05/15/2020
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 2860816030
Enrollment ID: I20240723001444

Medical Identifiers

Medical identifiers for Osariemen Osaikhuwuomwan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730701582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036165937 (Illinois)	Primary
390200000X	Student In An Organized Health Care Education/training Program	125.076521 (Illinois)	Secondary

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. Osariemen Osaikhuwuomwan allows following entities to bill medicare on her behalf.

Entity Name	Erie Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689

Entity Name	Endeavor Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Osariemen Osaikhuwuomwan 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
Osariemen Osaikhuwuomwan, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-1010	Osariemen Osaikhuwuomwan, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 982-3365

Reviews and Comments

Family Medicine Doctors in Evanston, IL

Isra Hasnain, Family Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-666-3494
Alysia L Green, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 633 Emerson St, Evanston, IL 60208 Phone: 847-491-8100 Fax: 847-491-5919
Stephanie Janae Van Buren, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1285 Hartrey Ave, Evanston, IL 60202 Phone: 847-666-3494
Dr. Elizabeth Feldman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1285 Hartrey Ave, Evanston, IL 60202 Phone: 312-666-3494
Eric O Fernandez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Davis St, Evanston, IL 60201 Phone: 847-982-6710
Ann Tran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Angelika Joanna Kwak, Family Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 773-834-9852

Osariemen Osaikhuwuomwan, MD - Medicare Family Medicine in Evanston, IL