Ralph Ogwotu, - Medicare Nurse Practitioner in Riverdale, GA

Ralph Ogwotu, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Riverdale, Georgia. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Guiding Light Healthcare Services and his current practice location is 6572 River Park Dr Ste 101, Riverdale, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 514-3498.

Ralph Ogwotu is licensed to practice in Georgia (license number 233148) 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 1144674581.

Contact Information

Ralph Ogwotu,
6572 River Park Dr Ste 101,
Riverdale, GA 30274-2214
(404) 514-3498
Not Available



Provider's Profile

Full NameRalph Ogwotu
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location6572 River Park Dr Ste 101, Riverdale, 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:
  • Ralph Ogwotu graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1144674581
  • Provider Enumeration Date: 04/22/2016
  • Last Update Date: 02/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749694008
  • Enrollment ID: I20210127002036

Medical Identifiers

Medical identifiers for Ralph Ogwotu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144674581NPI-NPPES
1144674581MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN233148 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 233148 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Guiding Light Healthcare Services68001421753

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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. Ralph Ogwotu allows following entities to bill medicare on his behalf.
Entity NameRiver Edge Behavioral Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174512966
PECOS PAC ID: 1153315874
Enrollment ID: O20040414000303

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Entity NameGuiding Light Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841707668
PECOS PAC ID: 6800142175
Enrollment ID: O20180629001300

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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. Ralph Ogwotu 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
Ralph Ogwotu,
110 W Pier Way,
Fayetteville, GA 30214-4617

Ph: (404) 514-3498
Ralph Ogwotu,
6572 River Park Dr Ste 101,
Riverdale, GA 30274-2214

Ph: (404) 514-3498

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Nurse Practitioner Nurses in Riverdale, GA

Karen Krechmery, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274
Phone: 770-994-9326    Fax: 770-994-4747
Sharlene Maynor, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 81 Upper Riverdale Rd Sw, Ste 210, Riverdale, GA 30274
Phone: 770-996-1200    Fax: 770-907-2334
Evelinn Suarez Blanks, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 83 Upper Riverdale Rd Sw Bldg 2, Riverdale, GA 30274
Phone: 770-991-0778    
Miss Antranika D. Ross, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 33 Upper Riverdale Rd Sw Ste 107, Riverdale, GA 30274
Phone: 678-489-6734    Fax: 888-497-4760
Dr. Qiana A Johnson, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296
Phone: 470-575-6588    
Shibana Elder Cutter, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2798 Topaz Rd, Riverdale, GA 30296
Phone: 678-763-1869    
Kashondra Denae Harris, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 217 Medical Way, Riverdale, GA 30274
Phone: 770-991-9227    

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