Adegbenga O Otun, DDS in Houston, TX - Medicare Oral Surgery Provider

Adegbenga O Otun, DDS is a medicare enrolled "Dentist - Prosthodontics" provider in Houston, Texas. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Physicians Referral Service and his current practice location is 1515 Holcombe Blvd, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 792-6161.

Adegbenga O Otun is licensed to practice in Texas (license number 27472) 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 1356706477.

Contact Information

	Adegbenga O Otun, DDS
	1515 Holcombe Blvd, Houston, TX 77030-4009
	(713) 792-6161
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Adegbenga O Otun
Gender	Male
Speciality	Oral Surgery
Experience	29 Years
Location	1515 Holcombe Blvd, Houston, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adegbenga O Otun graduated from medical school in 1995

NPI Data:

NPI Number: 1356706477
Provider Enumeration Date: 12/16/2015
Last Update Date: 06/13/2016

Medicare PECOS Information:

PECOS PAC ID: 2668774753
Enrollment ID: I20160106001752

Medical Identifiers

Medical identifiers for Adegbenga O Otun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356706477	NPI	-	NPPES
356786901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0700X	Dentist - Prosthodontics	27472 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physicians Referral Service	7911801410	2406

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. Adegbenga O Otun allows following entities to bill medicare on his behalf.

Entity Name	Physicians Referral Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953

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. Adegbenga O Otun 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
Adegbenga O Otun, DDS Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991	Adegbenga O Otun, DDS 1515 Holcombe Blvd, Houston, TX 77030-4009 Ph: (713) 792-6161

Reviews and Comments

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Adegbenga O Otun, DDS - Medicare Dentist in Houston, TX