Adewale O Odofin, MD in Saint Cloud, MN - Medicare Internal Medicine

Adewale O Odofin, MD is a medicare enrolled "Internal Medicine" physician in Saint Cloud, Minnesota. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Centracare Clinic, Centracare Clinic Southwest Llc and his current practice location is 1406 6th Ave N, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (203) 545-4500.

Adewale O Odofin is licensed to practice in Minnesota (license number 64754) 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 1972955375.

Contact Information

	Adewale O Odofin, MD
	1406 6th Ave N, Saint Cloud, MN 56303-1900
	(203) 545-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Adewale O Odofin
Gender	Male
Speciality	Internal Medicine
Experience	12 Years
Location	1406 6th Ave N, Saint Cloud, Minnesota
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:

Adewale O Odofin graduated from medical school in 2012

NPI Data:

NPI Number: 1972955375
Provider Enumeration Date: 07/08/2016
Last Update Date: 08/10/2022

Medicare PECOS Information:

PECOS PAC ID: 3375876899
Enrollment ID: I20190614000699

Medical Identifiers

Medical identifiers for Adewale O Odofin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972955375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	64754 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Cloud Hospital	Saint cloud, MN	Hospital
Carris Health Llc	Willmar, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centracare Clinic	2466363395	632
Centracare Clinic Southwest Llc	8426457946	141

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. Adewale O Odofin allows following entities to bill medicare on his behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	Centracare Health System-nr Llc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215

Entity Name	Centracare Health System-nr Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683

Entity Name	Centracare Clinic Southwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802

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. Adewale O Odofin 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
Adewale O Odofin, MD 2800 Main St, Bridgeport, CT 06606-4201 Ph: () -	Adewale O Odofin, MD 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (203) 545-4500

Reviews and Comments

Internal Medicine Doctors in Saint Cloud, MN

Bradley E Currier, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-240-2205 Fax: 320-229-5174
Bharath Manu Akkara Veetil, MBBS Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131
Kamiab Delfanian, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303 Phone: 320-229-5099 Fax: 320-229-5171
Jyh-yau Tsaur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131
John D Olsen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118
Mark J Martone, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118
Matthew Eggebrecht, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700

Adewale O Odofin, MD - Medicare Internal Medicine in Saint Cloud, MN