Paul Nosa-oviasu, is a medicare enrolled "Family Medicine" provider in Sullivan, Indiana. His current practice location is
2120 N Section St, Sullivan, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 268-4311.
Paul Nosa-oviasu is licensed to practice in Indiana (license number 01097491A) 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 1740662063.
Healthcare Provider's Profile
Full Name | Paul Nosa-oviasu |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 2120 N Section St, Sullivan, Indiana |
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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: 1740662063
- Provider Enumeration Date: 06/23/2015
- Last Update Date: 08/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446633994
- Enrollment ID: I20220816000614
Medical Identifiers
Medical identifiers for Paul Nosa-oviasu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740662063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | RPH028384 (Georgia) | Secondary |
183500000X | Pharmacist | PR5848 (Maine) | Secondary |
207Q00000X | Family Medicine | 01097491A (Indiana) | 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. Paul Nosa-oviasu 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 |
Paul Nosa-oviasu, 985 Spanish Moss Trl, Loganville, GA 30052-6733 Ph: (617) 785-6569 | Paul Nosa-oviasu, 2120 N Section St, Sullivan, IN 47882-7518 Ph: (812) 268-4311 |
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