Bolaji S Sofola, MD is a medicare enrolled "Urology" physician in Ardmore, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Urology. He is a member of the group practice Urology Center Of Southern Oklahoma,pc, Durant Hma Physician Management Llc and his current practice location is
915 10th Ave Nw, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 226-8310.
Bolaji S Sofola is licensed to practice in Oklahoma (license number 18035) 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 1366406217.
Physician's Profile
Full Name | Bolaji S Sofola |
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Gender | Male |
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Speciality | Urology |
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Experience | 33 Years |
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Location | 915 10th Ave Nw, Ardmore, Oklahoma |
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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:
- Bolaji S Sofola attended and graduated from University Of Oklahoma College Of Medicine in 1991
NPI Data:
- NPI Number: 1366406217
- Provider Enumeration Date: 04/15/2006
- Last Update Date: 01/16/2008
Medicare PECOS Information:
- PECOS PAC ID: 9931010253
- Enrollment ID: I20040520000601
Medical Identifiers
Medical identifiers for Bolaji S Sofola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366406217 | NPI | - | NPPES |
731521343 | Other | OK | FEDERAL TAX NUMBER |
100102400A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 18035 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Urology Center Of Southern Oklahoma,pc | 0547257461 | 2 |
Durant Hma Physician Management Llc | 3375638976 | 20 |
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. Bolaji S Sofola allows following entities to bill medicare on his behalf.
Entity Name | Urology Center Of Southern Oklahoma,pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881609568 PECOS PAC ID: 0547257461 Enrollment ID: O20040430000390 |
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Entity Name | Durant Hma Physician Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043361116 PECOS PAC ID: 3375638976 Enrollment ID: O20070927000304 |
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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. Bolaji S Sofola 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 |
Bolaji S Sofola, MD Po Box 1571, Ardmore, OK 73402-1571 Ph: (580) 226-8310 | Bolaji S Sofola, MD 915 10th Ave Nw, Ardmore, OK 73401-4025 Ph: (580) 226-8310 |
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