Bolanle O Gbadebo, MD in Green Bay, WI - Medicare Family Medicine

Bolanle O Gbadebo, MD is a medicare enrolled "Family Medicine" physician in Green Bay, Wisconsin. His current practice location is 2502 S. Ashland Ave., Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 496-4700.

Bolanle O Gbadebo is licensed to practice in Wisconsin (license number 46201) 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 1245320480.

Contact Information

	Bolanle O Gbadebo, MD
	2502 S. Ashland Ave., Green Bay, WI 54304
	(920) 496-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	Bolanle O Gbadebo
Gender	Male
Speciality	Family Medicine
Location	2502 S. Ashland Ave., Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245320480
Provider Enumeration Date: 10/16/2006
Last Update Date: 01/12/2012

Medicare PECOS Information:

PECOS PAC ID: 0749242071
Enrollment ID: I20041029000431

Medical Identifiers

Medical identifiers for Bolanle O Gbadebo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245320480	NPI	-	NPPES
34586000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	46201 (Wisconsin)	Primary
207Q00000X	Family Medicine	28814 (Alabama)	Secondary

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. Bolanle O Gbadebo allows following entities to bill medicare on his behalf.

Entity Name	Aspirus Stevens Point Hospital & Clinics, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558

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. Bolanle O Gbadebo 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
Bolanle O Gbadebo, MD 2502 S. Ashland Ave., Green Bay, WI 54304 Ph: (920) 217-0539	Bolanle O Gbadebo, MD 2502 S. Ashland Ave., Green Bay, WI 54304 Ph: (920) 496-4700

Reviews and Comments

Family Medicine Doctors in Green Bay, WI

Dr. Rachael E. Vanden Langenberg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700
Bradley Jay Fedderly, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 414-762-4225
Amy M Romandine Kratz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1727 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Barbara H Franck, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Challenger Dr Ste 191, Green Bay, WI 54311 Phone: 920-412-9737 Fax: 920-489-2247
Matthew Krueger Jenson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Siegler St, Green Bay, WI 54303 Phone: 920-494-9661 Fax: 920-496-3792
Megan Leigh Grimm, DNP FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-884-3135
Trent J Auguston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700

Bolanle O Gbadebo, MD - Medicare Family Medicine in Green Bay, WI