Dr Kanayo Afamefina Ezeanolue, MD - Medicare Pediatrics in Las Vegas, NV

Dr Kanayo Afamefina Ezeanolue, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Las Vegas, Nevada. His current practice location is 1800 W. Charleston Blvd., Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 383-2000.

Dr Kanayo Afamefina Ezeanolue is licensed to practice in Nevada (license number 14287) 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 1215053582.

Contact Information

Dr Kanayo Afamefina Ezeanolue, MD
1800 W. Charleston Blvd.,
Las Vegas, NV 89102
(702) 383-2000
(313) 745-5867



Physician's Profile

Full NameDr Kanayo Afamefina Ezeanolue
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1800 W. Charleston Blvd., Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215053582
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 09/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9931232253
  • Enrollment ID: I20140811002847

Medical Identifiers

Medical identifiers for Dr Kanayo Afamefina Ezeanolue such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215053582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301093717 (Michigan)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 14287 (Nevada)Primary

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. Dr Kanayo Afamefina Ezeanolue allows following entities to bill medicare on his behalf.
Entity NameUniversity Medical Center Of Southern Nevada
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548393127
PECOS PAC ID: 7315934429
Enrollment ID: O20040429001053

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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. Dr Kanayo Afamefina Ezeanolue 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
Dr Kanayo Afamefina Ezeanolue, MD
1800 W. Charleston Blvd. Ste. 508,
Las Vegas, NV 89102

Ph: (702) 383-2688
Dr Kanayo Afamefina Ezeanolue, MD
1800 W. Charleston Blvd.,
Las Vegas, NV 89102

Ph: (702) 383-2000

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Pediatrics Doctors in Las Vegas, NV

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Phone: 702-228-9066    
Sora Song, MD
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Dr. Noah Benjamin Kohn, MD
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Medicare: Medicare Enrolled
Practice Location: 1800 W. Charleston Blvd., Las Vegas, NV 89102
Phone: 702-383-2000    Fax: 888-456-2467
David Blank, M.D.
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Vicki Hom, MD
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Ms. Elsa H Von Schulenburg, MD
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Practice Location: 4800 Alpine Pl, Suite 10, Las Vegas, NV 89107
Phone: 702-851-3572    Fax: 702-851-3574
Ruben J Acherman, MD
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Practice Location: 3131 La Canada St Ste 230, Las Vegas, NV 89169
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