Individual ProviderEmmanuel NwaoguNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address720 West Hill St, Norton Louisville Primary Care,, Louisville, KY 40208(502) 363-3164(502) 588-9490PECOS EnrollmentBased on the most recent information from CMS, provider Emmanuel Nwaogu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 6:04 PM.Profile DetailsProvider ID1447784764Provider TypeIndividualFull NameNwaogu, EmmanuelCredentialDNPGenderMaleSole ProprietorNoEnumeration Date4/13/2017Last Updated10/5/2022Contact InformationPractice LocationPractice Address720 West Hill St, Norton Louisville Primary Care,, Louisville, KY 40208Phone(502) 363-3164Fax(502) 634-3731Mailing LocationMailing AddressPO Box 776351, Chicago, IL 60677-6351Phone(502) 588-9490Fax(502) 272-5116Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3011243Kentucky