Aniedi Etukudo Fred Udofa, MD - Medicare Psychiatry in Baton Rouge, LA

Aniedi Etukudo Fred Udofa, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Baton Rouge, Louisiana. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Capital Area Human Services District and her current practice location is 3843 Harding Blvd, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 953-9315.

Aniedi Etukudo Fred Udofa is licensed to practice in Louisiana (license number 14261R) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659432193.

Contact Information

Aniedi Etukudo Fred Udofa, MD
3843 Harding Blvd,
Baton Rouge, LA 70807-5224
(225) 953-9315
(225) 359-9326



Physician's Profile

Full NameAniedi Etukudo Fred Udofa
GenderFemale
SpecialityPsychiatry
Experience38 Years
Location3843 Harding Blvd, Baton Rouge, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Aniedi Etukudo Fred Udofa graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1659432193
  • Provider Enumeration Date: 12/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032197181
  • Enrollment ID: I20040713001426

Medical Identifiers

Medical identifiers for Aniedi Etukudo Fred Udofa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659432193NPI-NPPES
1572101MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 14261R (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baton Rouge General Medical CenterBaton rouge, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Area Human Services District276945073325

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Aniedi Etukudo Fred Udofa allows following entities to bill medicare on her behalf.
Entity NameCapital Area Human Services District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174681852
PECOS PAC ID: 2769450733
Enrollment ID: O20081118000007

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Entity NameCapital Area Human Services District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710047980
PECOS PAC ID: 2769450733
Enrollment ID: O20081118000023

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Entity NameCapital Area Human Services District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730104654
PECOS PAC ID: 2769450733
Enrollment ID: O20100114000532

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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. Aniedi Etukudo Fred Udofa 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 AddressPractice Location Address
Aniedi Etukudo Fred Udofa, MD
3843 Harding Blvd,
Baton Rouge, LA 70807-5224

Ph: (225) 953-9315
Aniedi Etukudo Fred Udofa, MD
3843 Harding Blvd,
Baton Rouge, LA 70807-5224

Ph: (225) 953-9315

News Archive

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› Verified 5 days ago


Psychiatry & Neurology Doctors in Baton Rouge, LA

Dr. Donna Brian Fargason, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 9311a Bluebonnet Blvd, Baton Rouge, LA 70810
Phone: 225-769-5551    Fax: 225-769-5583
Kishore M Gadde, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 6400 Perkins Rd, Baton Rouge, LA 70808
Phone: 225-763-2552    
Joseph Anthony Grizzaffi Jr., M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5131 Odonovan Dr, Ste 300, Baton Rouge, LA 70808
Phone: 225-374-0400    Fax: 225-374-0430
Abdul Baset Khan, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 9001 Summa Ave, Baton Rouge, LA 70809
Phone: 225-761-5200    Fax: 225-761-5654
Gerard Dynes, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808
Phone: 225-769-4044    
Dr. Kari Akili Jones, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 7521 Kings Hill Ave, Baton Rouge, LA 70810
Phone: 225-267-7141    
Dr. Ashok Reddy Polu, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808
Phone: 225-765-6565    

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