Obinna Charles Iluba, CRNA in Dyer, IN - Medicare Nurse Anesthetist, Certified Registered

Obinna Charles Iluba, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dyer, Indiana. His current practice location is 24 Joliet St, Dyer, Indiana. You can reach out to his office (for appointments etc.) via phone at (917) 922-9498.

Obinna Charles Iluba is licensed to practice in Indiana (license number 139085) 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 1194456400.

Contact Information

	Obinna Charles Iluba, CRNA
	24 Joliet St, Dyer, IN 46311-1705
	(917) 922-9498
	Not Available

Map and Direction

Provider's Profile

Full Name	Obinna Charles Iluba
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	24 Joliet St, Dyer, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194456400
Provider Enumeration Date: 06/19/2022
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3779948880
Enrollment ID: I20230425001076

Medical Identifiers

Medical identifiers for Obinna Charles Iluba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194456400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28228006A (Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	139085 (Indiana)	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. Obinna Charles Iluba allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297

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. Obinna Charles Iluba 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
Obinna Charles Iluba, CRNA 24 Joliet St, Dyer, IN 46311-1705 Ph: () -	Obinna Charles Iluba, CRNA 24 Joliet St, Dyer, IN 46311-1705 Ph: (917) 922-9498

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dyer, IN

Kimbra Click, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141
Aja Simone Rivera, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-932-2300
Mindy Ruan, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141
Mary C. Swenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141
Amanda J Arredondo, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141

Obinna Charles Iluba, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dyer, IN