Adewale Adeyinka Odukoya, MD - Medicare Family Practice in Jackson, TN

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Adewale Adeyinka Odukoya, MD is a medicare enrolled "Emergency Medicine" physician in Jackson, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeastern Emergency Physicians Llc, Navarro Emergency Physicians Pllc and his current practice location is 294 Summar Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 423-1932.

Adewale Adeyinka Odukoya is licensed to practice in Texas (license number S5721) 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 1902268550.

Contact Information

Adewale Adeyinka Odukoya, MD
294 Summar Dr,
Jackson, TN 38301-3915
(731) 423-1932
(731) 410-0367

Map and Direction




Physician's Profile

Full NameAdewale Adeyinka Odukoya
GenderMale
SpecialityFamily Practice
Experience8 Years
Location294 Summar Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. 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 Adeyinka Odukoya attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1902268550
  • Provider Enumeration Date: 03/23/2016
  • Last Update Date: 01/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456643345
  • Enrollment ID: I20180612001769

Medical Identifiers

Medical identifiers for Adewale Adeyinka Odukoya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902268550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 56635 (Tennessee)Secondary
207P00000XEmergency Medicine 51712 (Kentucky)Secondary
207P00000XEmergency Medicine 2020010832 (Missouri)Secondary
207Q00000XFamily Medicine 56635 (Tennessee)Secondary
207R00000XInternal Medicine 51712 (Kentucky)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) S5721 (Texas)Secondary
207P00000XEmergency Medicine S5721 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Navarro Regional HospitalCorsicana, TXHospital
North Texas Medical CenterGainesville, TXHospital
Caverna Memorial HospitalHorse cave, KYHospital
Maury Regional HospitalColumbia, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516
Navarro Emergency Physicians Pllc125448786118

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 Adeyinka Odukoya allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameEmergency Medical Care Facilities Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538345855
PECOS PAC ID: 6103837877
Enrollment ID: O20060509000565
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20151006000818
Entity NameWt University Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023572344
PECOS PAC ID: 3779824719
Enrollment ID: O20190401001719

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 Adeyinka Odukoya 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
Adewale Adeyinka Odukoya, MD
294 Summar Dr,
Jackson, TN 38301-3915

Ph: (731) 423-1932		Adewale Adeyinka Odukoya, MD
294 Summar Dr,
Jackson, TN 38301-3915

Ph: (731) 423-1932

Reviews and Comments


Emergency Medicine Doctors in Jackson, TN

John Hayes, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 708 W Forest Ave, Jackson, TN 38301
Phone: 731-660-8755    Fax: 731-660-8739
Dr. Donald Charles Correll, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 708 W Forest Ave, Jackson, TN 38301
Phone: 731-425-6280    Fax: 731-425-4922
Dr. William Tyler Hayden, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-343-0886    
Dr. Keith Alden Mosher Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301
Phone: 731-256-0526    Fax: 731-256-1720
Jim C Craig Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 708 W Forest Ave, Jackson, TN 38301
Phone: 731-660-8759    
Gloria Laws, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-541-3784    
Jay Gordon Shires, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-265-8355

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.