Individual ProviderOnoriode KesienaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1270 Prince Ave Ste 201, Athens, GA 30606-2789(706) 475-7055PECOS EnrollmentBased on the most recent information from CMS, provider Onoriode Kesiena 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 2 days ago.Profile DetailsProvider ID1740819523Provider TypeIndividualFull NameKesiena, OnoriodeTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/3/2020Last Updated6/28/2023Contact InformationPractice LocationPractice Address1270 Prince Ave Ste 201, Athens, GA 30606-2789Phone(706) 475-7055FaxUnlisted FaxMailing LocationMailing Address1199 Prince Ave # 70, Athens, GA 30606-2797PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense94985Georgia