Dr Ikechukwu P Ebo, DDS, PA in Lawrenceville, GA - Medicare Dentist Provider

Dr Ikechukwu P Ebo, DDS, PA is a medicare enrolled "Dentist" provider in Lawrenceville, Georgia. His current practice location is 650 Gwinnett Dr, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 963-5999.

Dr Ikechukwu P Ebo is licensed to practice in Georgia (license number DN013673) 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 1093880288.

Contact Information

	Dr Ikechukwu P Ebo, DDS, PA
	650 Gwinnett Dr, Lawrenceville, GA 30046-7439
	(770) 963-5999
	(770) 963-6603

Healthcare Provider's Profile

Full Name	Dr Ikechukwu P Ebo
Gender	Male
Speciality	Dentist
Location	650 Gwinnett Dr, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093880288
Provider Enumeration Date: 11/22/2006
Last Update Date: 07/01/2011

Medicare PECOS Information:

PECOS PAC ID: 8628388675
Enrollment ID: I20151104000944

Medical Identifiers

Medical identifiers for Dr Ikechukwu P Ebo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093880288	NPI	-	NPPES
89902F3	Medicaid	NC
5901375	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN013673 (Georgia)	Primary
1223G0001X	Dentist - General Practice	7427 (North Carolina)	Secondary

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 Ikechukwu P Ebo 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 Ikechukwu P Ebo, DDS, PA 650 Gwinnett Dr., Lawrenceville, GA 30045 Ph: (770) 963-5999	Dr Ikechukwu P Ebo, DDS, PA 650 Gwinnett Dr, Lawrenceville, GA 30046-7439 Ph: (770) 963-5999

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Dentist in Lawrenceville, GA

Dr. Kenneth Tralongo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171guinnett Dr, Suite C, Lawrenceville, GA 30045 Phone: 770-963-1941 Fax: 770-963-7707
Dr. Juan Carlos Flores, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 131 Langley Dr Ste D, Lawrenceville, GA 30046 Phone: 678-779-3077
Dr. Martin E Kersh, D.M.D.,P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 559 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-339-6393
Dr. Jason Klevansky, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 Phone: 770-921-1115
Dr. Robert E Ellis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 745 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-962-9515 Fax: 770-962-2722
Dr. John C Binkley, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15 Collins Industrial Way, Suite A, Lawrenceville, GA 30043 Phone: 770-962-3191 Fax: 770-962-3145
Heliodore Anatole Hovenou, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4825 Sugarloaf Pkwy, Lawrenceville, GA 30044 Phone: 770-962-4322

Dr Ikechukwu P Ebo, DDS, PA - Medicare Dentist in Lawrenceville, GA