Olisa Kingsley Obi, PA - Medicare Physician Assistant in Charlotte, NC

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Olisa Kingsley Obi, PA is a medicare enrolled "Physician Assistant" in Charlotte, North Carolina. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Emergency Medical Association Of New York Pc and his current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 355-2171.

Olisa Kingsley Obi is licensed to practice in North Carolina (license number 0010-04656) 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 1932459245.

Contact Information

Olisa Kingsley Obi, PA
1000 Blythe Blvd,
Charlotte, NC 28203-5812
(704) 355-2171
Not Available

Map and Direction




Provider's Profile

Full NameOlisa Kingsley Obi
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location1000 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olisa Kingsley Obi attended and graduated from Philadelphia College Of Osteopathic Medicine in 2012
  NPI Data:
  • NPI Number: 1932459245
  • Provider Enumeration Date: 09/13/2012
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628222494
  • Enrollment ID: I20230123000573

Medical Identifiers

Medical identifiers for Olisa Kingsley Obi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932459245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-04656 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ellenville Regional HospitalEllenville, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Medical Association Of New York Pc842695281335

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. Olisa Kingsley Obi allows following entities to bill medicare on his behalf.
Entity NameEmergency Medical Association of New York PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952356347
PECOS PAC ID: 8426952813
Enrollment ID: O20031126000445
Entity NameNyack Emergency Medical Association PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174627293
PECOS PAC ID: 2062411036
Enrollment ID: O20061221000029
Entity NameEmergency Medical Association Sound Shore PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649200015
PECOS PAC ID: 4486756947
Enrollment ID: O20070301000350
Entity NameEllenville Emergency Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477945905
PECOS PAC ID: 9436478658
Enrollment ID: O20150508001689

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. Olisa Kingsley Obi 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 AddressPractice Location Address
Olisa Kingsley Obi, PA
Po Box 19305,
Charlotte, NC 28219-9305

Ph: Not Available		Olisa Kingsley Obi, PA
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: (704) 355-2171

Reviews and Comments


Physician Assistant Nurses in Charlotte, NC

Olga Maria Kramer, PA-C
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Phone: 704-376-7362    Fax: 704-376-1939
Mrs. Christine Mccree Patrocinio Massinga, P.A.-C
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Practice Location: 3250 Wilkinson Blvd, Charlotte, NC 28208
Phone: 704-319-5176    Fax: 980-819-7900
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Phone: 704-384-6225    Fax: 704-316-3825
Ms. Mariah Leigh Rodriguez, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 11840 Southmore Dr Ste 100, Charlotte, NC 28277
Phone: 980-308-0169    Fax: 980-308-0173
Lauren Michelle Ramsey, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 1237 Harding Pl, Ste 4300, Charlotte, NC 28204
Phone: 704-373-0212    
Emily Batchelor Culley,
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Medicare: Accepting Medicare Assignments
Practice Location: 125 Queens Rd Ste 200, Charlotte, NC 28204
Phone: 704-343-9800    Fax: 704-347-2011
Amy Suzanne Buery, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 7903 Providence Rd Ste 100, Charlotte, NC 28277
Phone: 704-316-4460    Fax: 704-316-4466

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.