Dr Oluwole Oluseyi Olusola, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Pomona, California. He graduated from healthcare school in 1985 and has 39 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Tri-city Mental Health Authority and his current practice location is
2008 N Garey Ave, Pomona, California. You can reach out to his office (for appointments etc.) via phone at
(909) 623-6131.
Dr Oluwole Oluseyi Olusola is licensed to practice in California (license number C159183) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972529170.
Healthcare Provider's Profile
| Full Name | Dr Oluwole Oluseyi Olusola |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 39 Years |
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| Location | 2008 N Garey Ave, Pomona, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Oluwole Oluseyi Olusola graduated from medical school in 1985
NPI Data:
- NPI Number: 1972529170
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 01/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 6002991775
- Enrollment ID: I20190514001104
Medical Identifiers
Medical identifiers for Dr Oluwole Oluseyi Olusola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972529170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 30604 (Kentucky) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C159183 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tri-city Mental Health Authority | 6002710506 | 6 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Oluwole Oluseyi Olusola allows following entities to bill medicare on his behalf.
| Entity Name | Tri-city Mental Health Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346304920
PECOS PAC ID: 6002710506
Enrollment ID: O20031125000952 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Oluwole Oluseyi Olusola is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Oluwole Oluseyi Olusola, MD
920 Frederica St Ste 407, P.o. Box 1876,
Owensboro, KY 42301-3079
Ph: (270) 684-1077 | Dr Oluwole Oluseyi Olusola, MD
2008 N Garey Ave,
Pomona, CA 91767-2722
Ph: (909) 623-6131 |
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