Bamidele Otemuyiwa, in Eden Prairie, MN

Bamidele Otemuyiwa, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. His current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Bamidele Otemuyiwa is licensed to practice in Michigan (license number 4301503137) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497250419.

Contact Information

	Bamidele Otemuyiwa,
	11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349
	(952) 595-1301
	(612) 294-4903

Map and Direction

Physician's Profile

Full Name	Bamidele Otemuyiwa
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497250419
Provider Enumeration Date: 03/30/2018
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5991054454
Enrollment ID: I20230505000860

Medical Identifiers

Medical identifiers for Bamidele Otemuyiwa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497250419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301503137 (Michigan)	Primary

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. Bamidele Otemuyiwa allows following entities to bill medicare on his behalf.

Entity Name	Virtual Radiologic Professionals Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20071004000582

Entity Name	Ascension Borgess Lee Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1194771030 PECOS PAC ID: 7719881002 Enrollment ID: O20080304000173

Entity Name	Crouse Radiology Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447244587 PECOS PAC ID: 1850387648 Enrollment ID: O20230606001705

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. Bamidele Otemuyiwa 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
Bamidele Otemuyiwa, 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (314) 809-7153	Bamidele Otemuyiwa, 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301

Reviews and Comments

Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Christopher Calixte, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Rati N Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903

Bamidele Otemuyiwa, - Medicare Radiology in Eden Prairie, MN