Ifeanyi Jeffrey Mbah, MD
Psychiatry & Neurology, Psychiatry in Oconto, WI. Individual provider (NPI-1).
NPI number1689201832
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1689201832
- Entity type
- Individual (NPI-1)
- Name
- Ifeanyi Jeffrey Mbah
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 76210-20 | WI | Yes |
Practice location
820 Arbutus Ave Ste 102Oconto, WI 54153-2004
Phone 920-834-8833
Mailing address
2851 University AveGreen Bay, WI 54311-5855
Phone 920-431-2642
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