Ralph Ogwotu, in Riverdale, GA - Medicare Nurse Practitioner

Ralph Ogwotu, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Riverdale, Georgia. His current practice location is 6572 River Park Dr Ste 101, Riverdale, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 514-3498.

Ralph Ogwotu is licensed to practice in Georgia (license number 233148) 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 1144674581.

Contact Information

	Ralph Ogwotu,
	6572 River Park Dr Ste 101, Riverdale, GA 30274-2214
	(404) 514-3498
	Not Available

Map and Direction

Provider's Profile

Full Name	Ralph Ogwotu
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6572 River Park Dr Ste 101, Riverdale, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144674581
Provider Enumeration Date: 04/22/2016
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 0749694008
Enrollment ID: I20210127002036

Medical Identifiers

Medical identifiers for Ralph Ogwotu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144674581	NPI	-	NPPES
1144674581	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	233148 (Georgia)	Primary
163W00000X	Registered Nurse	RN233148 (Georgia)	Secondary

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. Ralph Ogwotu allows following entities to bill medicare on his behalf.

Entity Name	River Edge Behavioral Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174512966 PECOS PAC ID: 1153315874 Enrollment ID: O20040414000303

Entity Name	Guiding Light Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841707668 PECOS PAC ID: 6800142175 Enrollment ID: O20180629001300

Entity Name	Careperks Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992323398 PECOS PAC ID: 9335551506 Enrollment ID: O20240314002701

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. Ralph Ogwotu 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
Ralph Ogwotu, 110 W Pier Way, Fayetteville, GA 30214-4617 Ph: (404) 514-3498	Ralph Ogwotu, 6572 River Park Dr Ste 101, Riverdale, GA 30274-2214 Ph: (404) 514-3498

Reviews and Comments

Nurse Practitioner Nurses in Riverdale, GA

Karen Krechmery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9326 Fax: 770-994-4747
Sharlene Maynor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 Upper Riverdale Rd Sw, Ste 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-2334
Evelinn Suarez Blanks, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 Upper Riverdale Rd Sw Bldg 2, Riverdale, GA 30274 Phone: 770-991-0778
Miss Antranika D. Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 107, Riverdale, GA 30274 Phone: 678-489-6734 Fax: 888-497-4760
Dr. Qiana A Johnson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296 Phone: 470-575-6588
Ubi Okim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 313-850-0299
Shibana Elder Cutter, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2798 Topaz Rd, Riverdale, GA 30296 Phone: 678-763-1869

Ralph Ogwotu, - Medicare Nurse Practitioner in Riverdale, GA