IJEOMA ODICHINMA AMANZE
NPI 1982339099
Family Medicine in Monroe, LA

Active since July 21, 2022PECOS EnrolledAccepts Medicare Assignment
4864 JACKSON ST, MONROE, LA 71202(318) 330-7615 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 11, 2025, Aug 9, 2022, Aug 3, 2022 and 1 more (4 updates tracked since 2022).

About Ijeoma Odichinma Amanze NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IJEOMA ODICHINMA AMANZE (NPI 1982339099) is an individual family medicine provider in Monroe, Louisiana, licensed in Arizona (76072) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1982339099
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameIJEOMA ODICHINMA AMANZE
Location Address4864 JACKSON STMonroe, LA 71202-6400
Mailing Address4864 Jackson StMonroe, LA 71202-6400 · (318) 330-7615
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 21, 2022
Last NPPES UpdateJuly 11, 20254 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
NPI 1982339099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 76072
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4864 JACKSON ST, Monroe, LA 71202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ijeoma Odichinma Amanze is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486161452
PECOS Enrollment IDI20250725002309
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
4864 JACKSON ST
MONROE, LA 71202
Anesthesiology
4864 JACKSON ST
MONROE, LA 71202
Family Medicine
4864 JACKSON ST
MONROE, LA 71202
Emergency Medicine
4864 JACKSON ST
MONROE, LA 71202
Emergency Medicine
4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE, LA 71202
Emergency Medicine
4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE, LA 71202
Emergency Medicine
4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE, LA 71202
Emergency Medicine
4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE, LA 71202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982339099, enumerated as an "individual" on July 21, 2022.

The provider is located at 4864 JACKSON ST MONROE, LA 71202 and the phone number is (318) 330-7615.

Family Medicine with taxonomy code 207Q00000X.