Dr Justin O Ogbevoen, MD - Medicare Pediatrics in Florissant, MO

Dr Justin O Ogbevoen, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Florissant, Missouri. His current practice location is 1225 Graham Rd, Div Ped Emergency Med, Florissant, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 454-2341.

Dr Justin O Ogbevoen is licensed to practice in Missouri (license number 103771) 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 1487612370.

Contact Information

Dr Justin O Ogbevoen, MD
1225 Graham Rd, Div Ped Emergency Med,
Florissant, MO 63031-8012
(314) 454-2341
(314) 454-4345



Physician's Profile

Full NameDr Justin O Ogbevoen
GenderMale
SpecialityPediatrics - Pediatric Emergency Medicine
Location1225 Graham Rd, Florissant, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487612370
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476575101
  • Enrollment ID: I20060111000078

Medical Identifiers

Medical identifiers for Dr Justin O Ogbevoen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487612370NPI-NPPES
207558412MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 103771 (Missouri)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 103771 (Missouri)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 Justin O Ogbevoen allows following entities to bill medicare on his behalf.
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194765685
PECOS PAC ID: 9830008770
Enrollment ID: O20040607000287

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Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434

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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 Justin O Ogbevoen 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 Justin O Ogbevoen, MD
Po Box 60352,
Saint Louis, MO 63160-0352

Ph: (314) 454-2341
Dr Justin O Ogbevoen, MD
1225 Graham Rd, Div Ped Emergency Med,
Florissant, MO 63031-8012

Ph: (314) 454-2341

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Pediatrics Doctors in Florissant, MO

Laura Elizabeth Holt, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11642 W Florissant Ave, Florissant, MO 63033
Phone: 314-838-8220    Fax: 314-838-4007
Dr. Elinor Hancock, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4129 N Us Highway 67, Florissant, MO 63034
Phone: 314-355-6390    
Dr. Ritu L Zei, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031
Phone: 314-454-2341    Fax: 314-454-4345
Dr. Kevin J Murphy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1224 Graham Rd, Ste 1103, Florissant, MO 63031
Phone: 314-837-0405    Fax: 314-395-7289
Dr. Katherine L Austin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031
Phone: 314-454-2341    Fax: 314-454-4345
Dr. Diliane Charles Pelikan, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031
Phone: 314-454-2341    Fax: 314-454-4345

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