Mr Bethel Ubochi, NP in Green Bay, WI - Medicare Nurse Practitioner

Mr Bethel Ubochi, NP is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. His current practice location is 2420 Sycamore Dr Apt 58, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 931-5061.

Mr Bethel Ubochi is licensed to practice in Oregon (license number 202001123) 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 1063831824.

Contact Information

	Mr Bethel Ubochi, NP
	2420 Sycamore Dr Apt 58, Green Bay, WI 54311-5166
	(920) 931-5061
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Bethel Ubochi
Gender	Male
Speciality	Nurse Practitioner
Location	2420 Sycamore Dr Apt 58, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063831824
Provider Enumeration Date: 04/09/2014
Last Update Date: 01/09/2025

Medicare PECOS Information:

PECOS PAC ID: 6204288343
Enrollment ID: I20240115000256

Medical Identifiers

Medical identifiers for Mr Bethel Ubochi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063831824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	173722-30 (Wisconsin)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	113028-23 (New Hampshire)	Secondary
363L00000X	Nurse Practitioner	202001123 (Oregon)	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. Mr Bethel Ubochi allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210512001500

Entity Name	Visavis Health Care Medical Group Of Nm Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598459042 PECOS PAC ID: 2163878497 Enrollment ID: O20231024000131

Entity Name	Ivy Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20241226002288

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. Mr Bethel Ubochi 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
Mr Bethel Ubochi, NP 121 Woodrose Ct, Roseburg, OR 97471-1646 Ph: (920) 931-5061	Mr Bethel Ubochi, NP 2420 Sycamore Dr Apt 58, Green Bay, WI 54311-5166 Ph: (920) 931-5061

Reviews and Comments

Nurse Practitioner Nurses in Green Bay, WI

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Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301
Junhong Pace, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700

Mr Bethel Ubochi, NP - Medicare Nurse Practitioner in Green Bay, WI