Otasowie Michael Odiase, is a medicare enrolled "Radiology - Radiation Oncology" physician in Dickson City, Pennsylvania. His current practice location is
703 Martin F Gibbons Blvd, Dickson City, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 846-2340.
Otasowie Michael Odiase is licensed to practice in Pennsylvania (license number MD495600) 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 1841877628.
Physician's Profile
| Full Name | Otasowie Michael Odiase |
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| Gender | Male |
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| Speciality | Radiology - Radiation Oncology |
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| Location | 703 Martin F Gibbons Blvd, Dickson City, Pennsylvania |
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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: 1841877628
- Provider Enumeration Date: 03/26/2021
- Last Update Date: 07/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 8123498359
- Enrollment ID: I20230105000598
Medical Identifiers
Medical identifiers for Otasowie Michael Odiase such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841877628 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0001X | Radiology - Radiation Oncology | MD495600 (Pennsylvania) | 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. Otasowie Michael Odiase 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 |
Otasowie Michael Odiase, 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 846-2340 | Otasowie Michael Odiase, 703 Martin F Gibbons Blvd, Dickson City, PA 18519-1787 Ph: (570) 846-2340 |
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