Ifeatu Uchenna Oti, MD in Tyler, TX

Ifeatu Uchenna Oti, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Tyler, Texas. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Etmc Physician Group, Inc., Tyler Nephrology Associates Pa and her current practice location is 1133 Medical Dr, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 595-5486.

Ifeatu Uchenna Oti is licensed to practice in Texas (license number N5305) 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 1003087388.

Contact Information

	Ifeatu Uchenna Oti, MD
	1133 Medical Dr, Tyler, TX 75701-2130
	(903) 595-5486
	(903) 595-5128

Physician's Profile

Full Name	Ifeatu Uchenna Oti
Gender	Female
Speciality	Nephrology
Experience	25 Years
Location	1133 Medical Dr, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ifeatu Uchenna Oti graduated from medical school in 1999

NPI Data:

NPI Number: 1003087388
Provider Enumeration Date: 03/14/2008
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3577596071
Enrollment ID: I20100319000792

Medical Identifiers

Medical identifiers for Ifeatu Uchenna Oti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003087388	NPI	-	NPPES
2108011-01	Medicaid	TX
200280780 A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	34742 (Oklahoma)	Secondary
207RN0300X	Internal Medicine - Nephrology	7363 (South Dakota)	Secondary
207RN0300X	Internal Medicine - Nephrology	35.086016 (Ohio)	Secondary
207RN0300X	Internal Medicine - Nephrology	N5305 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rcg Mineola Dialysis	Mineola, TX	Dialysis facility
Fresenius Medical Care Tyler Home Dialysis	Tyler, TX	Dialysis facility
Christus Mother Frances Hospital	Tyler, TX	Hospital
Ut Health East Texas Tyler Regional Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Etmc Physician Group, Inc.	4486915600	276
Tyler Nephrology Associates Pa	6901862242	24

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. Ifeatu Uchenna Oti allows following entities to bill medicare on her behalf.

Entity Name	Tyler Nephrology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942360326 PECOS PAC ID: 6901862242 Enrollment ID: O20041208000236

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Ifeatu Uchenna Oti 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
Ifeatu Uchenna Oti, MD 1133 Medical Dr, Tyler, TX 75701-2130 Ph: (903) 595-5486	Ifeatu Uchenna Oti, MD 1133 Medical Dr, Tyler, TX 75701-2130 Ph: (903) 595-5486

Internal Medicine Doctors in Tyler, TX

Preetham Reddy Muskula, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Dr. Amanda Nicole Long, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave, Ste 327, Tyler, TX 75701 Phone: 903-510-1173

Ifeatu Uchenna Oti, MD - Medicare Nephrology in Tyler, TX