Adedotun A Adewusi, MD - Medicare Internal Medicine in Antioch, CA

Adedotun A Adewusi, MD is a medicare enrolled "Hospitalist" physician in Antioch, California. She went to University Of Texas Medical School At San Antonio and graduated in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 3901 Lone Tree Way, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 756-1192.

Adedotun A Adewusi is licensed to practice in California (license number C135329) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679795280.

Contact Information

Adedotun A Adewusi, MD
3901 Lone Tree Way,
Antioch, CA 94509-6200
(925) 756-1192
(925) 779-7220

Map and Direction




Physician's Profile

Full NameAdedotun A Adewusi
GenderFemale
SpecialityInternal Medicine
Experience20 Years
Location3901 Lone Tree Way, Antioch, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adedotun A Adewusi attended and graduated from University Of Texas Medical School At San Antonio in 2004
  NPI Data:
  • NPI Number: 1679795280
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 01/31/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1355401910
  • Enrollment ID: I20160328001713

Medical Identifiers

Medical identifiers for Adedotun A Adewusi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679795280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist MD442593 (Pennsylvania)Secondary
207R00000XInternal Medicine MD442593 (Pennsylvania)Secondary
208000000XPediatrics MD442593 (Pennsylvania)Secondary
208M00000XHospitalist 249539 (New York)Secondary
207R00000XInternal Medicine 249539 (New York)Secondary
208000000XPediatrics 249539 (New York)Secondary
208M00000XHospitalist C135329 (California)Primary
207R00000XInternal Medicine C135329 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Delta Medical CenterAntioch, CAHospital
Alta Bates Summit Medical CenterOakland, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782995

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. Adedotun A Adewusi allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909
Entity NameMarin Hospitalist Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023041753
PECOS PAC ID: 1456257146
Enrollment ID: O20031211001139
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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. Adedotun A Adewusi 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 AddressPractice Location Address
Adedotun A Adewusi, MD
3687 Mt Diablo Blvd, Suite 200,
Lafayette, CA 94549-3717

Ph: (916) 854-6975
Adedotun A Adewusi, MD
3901 Lone Tree Way,
Antioch, CA 94509-6200

Ph: (925) 756-1192

Reviews and Comments


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Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-779-7200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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