Bolaji T Odusina, MD in Lawrenceville, GA

Bolaji T Odusina, MD is a medicare enrolled "Pediatrics" physician in Lawrenceville, Georgia. Her current practice location is 1155 Lawrenceville Suwanee Rd, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 442-0205.

Bolaji T Odusina is licensed to practice in Georgia (license number 042380) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306803762.

Contact Information

	Bolaji T Odusina, MD
	1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425
	(678) 442-0205
	(678) 442-0185

Map and Direction

Physician's Profile

Full Name	Bolaji T Odusina
Gender	Female
Speciality	Pediatrics
Location	1155 Lawrenceville Suwanee Rd, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306803762
Provider Enumeration Date: 04/28/2006
Last Update Date: 05/01/2012

Medicare PECOS Information:

PECOS PAC ID: 8123316114
Enrollment ID: I20161006001132

Medical Identifiers

Medical identifiers for Bolaji T Odusina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306803762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	042380 (Georgia)	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. Bolaji T Odusina allows following entities to bill medicare on her behalf.

Entity Name	Erx Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326

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 T Odusina 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 T Odusina, MD 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 Ph: (678) 442-0205	Bolaji T Odusina, MD 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 Ph: (678) 442-0205

Reviews and Comments

Pediatrics Doctors in Lawrenceville, GA

Howard Ross Ellis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 665 Duluth Hwy Ste 920, Lawrenceville, GA 30046 Phone: 678-312-5250
Anuradha N Sheth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 755 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-277-6725 Fax: 770-277-9169
Dr. Venkateswara Rao Dikkala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2775 Cruse Rd, Suite 1801, Lawrenceville, GA 30044 Phone: 678-380-9199 Fax: 908-634-2861
Navneet Kaur Brar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3356
Dr. Claire Dudley Wilkiemeyer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 945 River Centre Pl, Suite 200, Lawrenceville, GA 30043 Phone: 678-646-0404
Scott Darby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018
Keyana Renee Washington, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018

Bolaji T Odusina, MD - Medicare Pediatrics in Lawrenceville, GA