Mrs Kimberly Laverne Obidiegwu, PA in Fresno, CA

Mrs Kimberly Laverne Obidiegwu, PA is a medicare enrolled "Physician Assistant" in Fresno, California. Her current practice location is 1207 E Herndon Ave, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 432-4303.

Mrs Kimberly Laverne Obidiegwu is licensed to practice in California (license number PENDING) 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 1083228738.

Contact Information

	Mrs Kimberly Laverne Obidiegwu, PA
	1207 E Herndon Ave, Fresno, CA 93720-3235
	(559) 432-4303
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Laverne Obidiegwu
Gender	Female
Speciality	Physician Assistant
Location	1207 E Herndon Ave, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083228738
Provider Enumeration Date: 09/01/2020
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID: 5991109373
Enrollment ID: I20210806001316

Medical Identifiers

Medical identifiers for Mrs Kimberly Laverne Obidiegwu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083228738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(California)	Secondary
363A00000X	Physician Assistant	PENDING (California)	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. Mrs Kimberly Laverne Obidiegwu 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
Mrs Kimberly Laverne Obidiegwu, PA 40370 Road 222, Bass Lake, CA 93604-9702 Ph: (559) 779-7438	Mrs Kimberly Laverne Obidiegwu, PA 1207 E Herndon Ave, Fresno, CA 93720-3235 Ph: (559) 432-4303

Reviews and Comments

Physician Assistant Nurses in Fresno, CA

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Delaney Flattery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681

Mrs Kimberly Laverne Obidiegwu, PA - Medicare Physician Assistant in Fresno, CA