Chisom Chijioke Odogwu, - Medicare Physician Assistant in Stockbridge, GA

Chisom Chijioke Odogwu, is a medicare enrolled "Physician Assistant" in Stockbridge, Georgia. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 135 N Park Pl Ste 101, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 758-7493.

Chisom Chijioke Odogwu is licensed to practice in Georgia (license number 9389) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346801362.

Contact Information

Chisom Chijioke Odogwu,
135 N Park Pl Ste 101,
Stockbridge, GA 30281-7237
(770) 758-7493
Not Available



Provider's Profile

Full NameChisom Chijioke Odogwu
GenderMale
SpecialityPhysician Assistant
Experience5 Years
Location135 N Park Pl Ste 101, Stockbridge, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chisom Chijioke Odogwu graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1346801362
  • Provider Enumeration Date: 06/21/2019
  • Last Update Date: 02/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7315277621
  • Enrollment ID: I20190930003346

Medical Identifiers

Medical identifiers for Chisom Chijioke Odogwu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346801362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 9389 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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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. Chisom Chijioke Odogwu 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
Chisom Chijioke Odogwu,
135 N Park Pl Ste 101,
Stockbridge, GA 30281-7237

Ph: (770) 758-7493
Chisom Chijioke Odogwu,
135 N Park Pl Ste 101,
Stockbridge, GA 30281-7237

Ph: (770) 758-7493

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Physician Assistant Nurses in Stockbridge, GA

Charles Everett Coppinger, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1492 Hudson Bridge Rd, Stockbridge, GA 30281
Phone: 404-255-1933    Fax: 404-553-9830
James Vincent Edwards, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281
Phone: 770-506-4350    Fax: 770-506-9860
Janet Holland, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 175 Country Club Dr, Bldg. 100 Suite C, Stockbridge, GA 30281
Phone: 770-507-1414    Fax: 770-507-5150
Michael C. Martin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 Eagles Walk, Suite A, Stockbridge, GA 30281
Phone: 770-914-0116    Fax: 770-914-7703
Charla V Johnson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281
Phone: 404-307-3062    
Elizabeth Matheny Wolfe, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 404-367-3014    
Jerrica Miles, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281
Phone: 770-506-4350    

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