Kennedy Ugbodu, in Washington, DC - Medicare Nurse Practitioner

Kennedy Ugbodu, is a medicare enrolled "Nurse Practitioner - Family" in Washington, District Of Columbia. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ennoble Hc Dmv Llc, Ennoble Hc Dmv Llc and his current practice location is 39 V St Ne, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (551) 295-8223.

Kennedy Ugbodu is licensed to practice in Maryland (license number R163225) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891449856.

Contact Information

	Kennedy Ugbodu,
	39 V St Ne, Washington, DC 20002-1329
	(551) 295-8223
	Not Available

Map and Direction

Provider's Profile

Full Name	Kennedy Ugbodu
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	39 V St Ne, Washington, District Of Columbia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kennedy Ugbodu graduated from nursing school in 2020

NPI Data:

NPI Number: 1891449856
Provider Enumeration Date: 02/09/2022
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 9032631262
Enrollment ID: I20250318000740

Medical Identifiers

Medical identifiers for Kennedy Ugbodu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891449856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R163225 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ennoble Hc Dmv Llc	9032517925	80
Ennoble Hc Dmv Llc	9032517925	80

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. Kennedy Ugbodu allows following entities to bill medicare on his behalf.

Entity Name	Ennoble Hc Dmv Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104492115 PECOS PAC ID: 9032517925 Enrollment ID: O20211209000400

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. Kennedy Ugbodu 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
Kennedy Ugbodu, 2 University Plz Ste 204, Hackensack, NJ 07601-6211 Ph: (551) 295-8223	Kennedy Ugbodu, 39 V St Ne, Washington, DC 20002-1329 Ph: (551) 295-8223

Reviews and Comments

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Kennedy Ugbodu, - Medicare Nurse Practitioner in Washington, DC