Martins Efosa Bazuaye, MD in Columbia, MO - Medicare Student in an Organized Health Care Education/Training Program

Martins Efosa Bazuaye, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Columbia, Missouri. His current practice location is 3315 Berrywood Dr Ste 201, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 884-0769.

Martins Efosa Bazuaye is licensed to practice in * (Not Available) (license number ) 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 1861029902.

Contact Information

	Martins Efosa Bazuaye, MD
	3315 Berrywood Dr Ste 201, Columbia, MO 65201-6571
	(573) 884-0769
	Not Available

Physician's Profile

Full Name	Martins Efosa Bazuaye
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	3315 Berrywood Dr Ste 201, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861029902
Provider Enumeration Date: 03/26/2020
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9739548694
Enrollment ID: I20230710003461

Medical Identifiers

Medical identifiers for Martins Efosa Bazuaye such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861029902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	2023019463 (Missouri)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Martins Efosa Bazuaye 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
Martins Efosa Bazuaye, MD 3315 Berrywood Dr Ste 201, Columbia, MO 65201-6571 Ph: (573) 884-0769	Martins Efosa Bazuaye, MD 3315 Berrywood Dr Ste 201, Columbia, MO 65201-6571 Ph: (573) 884-0769

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Martins Efosa Bazuaye, MD - Medicare Student in an Organized Health Care Education/Training Program in Columbia, MO