Kenechukwu Obidigwe Eze, DDS in Sac, CA - Medicare Dentist Provider

Kenechukwu Obidigwe Eze, DDS is a medicare enrolled "Dentist" provider in Sac, California. His current practice location is 6030 S. Land Park Dr., Sac, California. You can reach out to his office (for appointments etc.) via phone at (916) 500-5437.

Kenechukwu Obidigwe Eze is licensed to practice in California (license number 56954) 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 1669648580.

Contact Information

	Kenechukwu Obidigwe Eze, DDS
	6030 S. Land Park Dr., Sac, CA 95822
	(916) 500-5437
	(916) 244-7004

Healthcare Provider's Profile

Full Name	Kenechukwu Obidigwe Eze
Gender	Male
Speciality	Dentist
Location	6030 S. Land Park Dr., Sac, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669648580
Provider Enumeration Date: 04/30/2008
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5193022754
Enrollment ID: I20160324001943

Medical Identifiers

Medical identifiers for Kenechukwu Obidigwe Eze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669648580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	29400 (Texas)	Secondary
1223G0001X	Dentist - General Practice	56954 (California)	Secondary
122300000X	Dentist	56954 (California)	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. Kenechukwu Obidigwe Eze 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
Kenechukwu Obidigwe Eze, DDS 6030 S. Land Park Dr., Sac, CA 95822 Ph: (916) 500-5437	Kenechukwu Obidigwe Eze, DDS 6030 S. Land Park Dr., Sac, CA 95822 Ph: (916) 500-5437

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Kenechukwu Obidigwe Eze, DDS - Medicare Dentist in Sac, CA