Ifeanyi Jeffrey Mbah, MD
Individual provider Active NPI Psychiatry Physician · Oconto, WI
NPI 1689201832 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1689201832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 76210-20 (WI)
- Practice address
- 820 Arbutus Ave Ste 102
Oconto, WI 54153-2004 - Phone
- (920) 834-8833
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oconto Hospital and Medical Center Inc
Practice addresses (Care Compare)
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240722002054 | WI | Practitioner - Psychiatry | 1456897834 | Reassigns benefits to 3 organizations |
| I20250106002991 | MI | Practitioner - Psychiatry | 1456897834 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76210-20 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Psychiatric Center Inc | Psychiatry | Current |
Accepting new patients |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current |
Accepting new patients | |
| Bellin Psychiatric Center Inc. | Psychiatry | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc. | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients |
Locations
106 S School Rd
Daggett, MI 49821
Phone (906) 753-2155
610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488
440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040
1100 10th St
Menominee, MI 49858
Phone (906) 863-2256
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
820 Arbutus Ave
Ste 102
Oconto, WI 54153
Phone (920) 834-8833
Interoperability endpoints
- imbah976088@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 76210-20 | WI | Yes |
Addresses
Primary practice location
820 Arbutus Ave Ste 102
Oconto, WI 54153-2004
Mailing address
2851 University Ave
Green Bay, WI 54311-5855
Phone (920) 431-2642
Other providers in Oconto, WI
- John Douglas Macdonald
- Ryan Patrick Macdonald
- Lisa Margaret Majewski
- Tanya Lynn Malek
- Heather L. Mayer
- Denise Susan McCormick
- Kaylee Marie McFadden
- Meier Dental Center, Inc.
- Ronald Meier
- William Ronald Meier
All providers in Oconto, WI · Psychiatry Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.