Dr Iyayi Michael Osifo, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Ft Worth, Texas. His current practice location is
1400 8th Ave, Ft Worth, Texas. You can reach out to his office (for appointments etc.) via phone at
(907) 202-4540.
Dr Iyayi Michael Osifo is licensed to practice in * (Not Available) (license number ) 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 1952850273.
Healthcare Provider's Profile
Full Name | Dr Iyayi Michael Osifo |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1400 8th Ave, Ft Worth, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952850273
- Provider Enumeration Date: 09/27/2016
- Last Update Date: 03/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678092277
- Enrollment ID: I20250528000371
Medical Identifiers
Medical identifiers for Dr Iyayi Michael Osifo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952850273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 60290 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Iyayi Michael Osifo 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 |
Dr Iyayi Michael Osifo, MD 1400 8th Ave, Ft Worth, TX 76104-4110 Ph: (907) 202-4540 | Dr Iyayi Michael Osifo, MD 1400 8th Ave, Ft Worth, TX 76104-4110 Ph: (907) 202-4540 |
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