Thecla Ihuaku Obi, NP | |
322 Lake Ave, Brown Square Center, Rochester, NY 14608-7141 | |
(585) 254-6480 | |
(585) 254-1092 |
Full Name | Thecla Ihuaku Obi |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 322 Lake Ave, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679801633 | NPI | - | NPPES |
03734892 | Medicaid | NY | |
J400240135 | Other | NY | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 576732 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 338190 (New York) | Primary |
Entity Name | Highland Hospital Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972548568 PECOS PAC ID: 5496641631 Enrollment ID: O20040225000444 |
Entity Name | Anthony L. Jordan Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649529678 PECOS PAC ID: 8729079785 Enrollment ID: O20040519001335 |
Mailing Address | Practice Location Address |
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Thecla Ihuaku Obi, NP 50 S B B King Blvd # 100, Memphis, TN 38103-2626 Ph: (901) 436-1381 | Thecla Ihuaku Obi, NP 322 Lake Ave, Brown Square Center, Rochester, NY 14608-7141 Ph: (585) 254-6480 |
Sarah Anne Rossi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Box 652, Rochester, NY 14642 Phone: 585-279-5100 | |
Mrs. Anne Scherberger Keefer, RN NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Box 704, Rochester, NY 14642 Phone: 585-275-5307 Fax: 585-275-2914 | |
Sarah Siegfried, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 619-334, Rochester, NY 14642 Phone: 585-472-5690 | |
Nancy Lm Wilcox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Portland Ave, Rochester, NY 14621 Phone: 585-697-6416 | |
Mr. Seth Christopher Jacob-wagner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 University Ave, Rochester, NY 14605 Phone: 585-546-2271 | |
Ashley Lynn Hendershot, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr, Rochester, NY 14623 Phone: 585-486-0600 | |
Caitlin Patrice Curtin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2100 |