Stephen Nnodim Jr, MD in Fremont, CA - Medicare Psychiatry & Neurology

Stephen Nnodim Jr, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fremont, California. His current practice location is 39400 Paseo Padre Pkwy, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (510) 248-3572.

Stephen Nnodim Jr is licensed to practice in California (license number A150305) 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 1396199105.

Contact Information

	Stephen Nnodim Jr, MD
	39400 Paseo Padre Pkwy, Fremont, CA 94538-2310
	(510) 248-3572
	(510) 248-3375

Map and Direction

Physician's Profile

Full Name	Stephen Nnodim Jr
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	39400 Paseo Padre Pkwy, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396199105
Provider Enumeration Date: 04/18/2016
Last Update Date: 08/16/2025

Medicare PECOS Information:

PECOS PAC ID: 0749604510
Enrollment ID: I20220930002276

Medical Identifiers

Medical identifiers for Stephen Nnodim Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396199105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	A150305 (California)	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. Stephen Nnodim Jr allows following entities to bill medicare on his behalf.

Entity Name	Bon Secours Medical Group Hampton Roads Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258

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. Stephen Nnodim Jr 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
Stephen Nnodim Jr, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3572	Stephen Nnodim Jr, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3572

Reviews and Comments

Psychiatry & Neurology Doctors in Fremont, CA

Calvin B. Wheeler, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000
Naureen Khan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000
Pradeep Kumar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39159 Paseo Padre Parkawy #121, C, Fremont, CA 94538 Phone: 707-486-7442 Fax: 707-486-7442
Paula X. Lee, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000
Kyle Eric Johnson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3000
Rasheeda Kaghazwala, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3060 Fax: 510-248-6522
Jina L. Janavs, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000

Stephen Nnodim Jr, MD - Medicare Psychiatry & Neurology in Fremont, CA