Dr Stella Ugboma, MD - Medicare Anesthesiology in Grand Rapids, MI

Dr Stella Ugboma, MD is a medicare enrolled "Anesthesiology" physician in Grand Rapids, Michigan. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Genesis Anesthesia Providers, Llc and her current practice location is 3333 Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 364-4200.

Dr Stella Ugboma is licensed to practice in Pennsylvania (license number MD484164) 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 1073574919.

Contact Information

Dr Stella Ugboma, MD
3333 Evergreen Dr Ne,
Grand Rapids, MI 49525-9493
(616) 364-4200
(616) 364-7347



Physician's Profile

Full NameDr Stella Ugboma
GenderFemale
SpecialityAnesthesiology
Experience38 Years
Location3333 Evergreen Dr Ne, Grand Rapids, Michigan
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:
  • Dr Stella Ugboma graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1073574919
  • Provider Enumeration Date: 03/30/2006
  • Last Update Date: 03/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204735921
  • Enrollment ID: I20191218002236

Medical Identifiers

Medical identifiers for Dr Stella Ugboma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073574919NPI-NPPES
4699962MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 4301080748 (Michigan)Secondary
207L00000XAnesthesiology 01061550A (Indiana)Secondary
207L00000XAnesthesiology MD484164 (Pennsylvania)Primary
207L00000XAnesthesiology 35.094099 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Genesis HospitalZanesville, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Genesis Anesthesia Providers, Llc004255806654

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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. Dr Stella Ugboma allows following entities to bill medicare on her behalf.
Entity NameSomc Medical Care Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203

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Entity NameGenesis Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063663433
PECOS PAC ID: 7719040385
Enrollment ID: O20090107000547

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Entity NameGenesis Anesthesia Providers, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295205433
PECOS PAC ID: 0042558066
Enrollment ID: O20190215001836

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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 Stella Ugboma 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 Stella Ugboma, MD
3015 Ledgestone Pl Ne,
Grand Rapids, MI 49525-7066

Ph: (734) 945-2653
Dr Stella Ugboma, MD
3333 Evergreen Dr Ne,
Grand Rapids, MI 49525-9493

Ph: (616) 364-4200

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Anesthesiology Doctors in Grand Rapids, MI

Matthew H Armstrong, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-364-4200    
Daniel H. Robinson, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503
Phone: 616-685-5000    
Cheryl Lukins, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 25 Michigan St Ne Ste 2200, Grand Rapids, MI 49503
Phone: 616-391-3245    
Dr. Jeffrey M Ricketts, DO
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Christopher Ross Russo, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546
Phone: 616-588-7246    Fax: 616-588-7086
Samuel Lee, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michign St Ne, Grand Rapids, MI 49503
Phone: 616-364-4200    
Dr. Cindy Chu, DO
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503
Phone: 616-685-5000    

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