Caroline O Agbetunsin, MD is a medicare enrolled "Pediatrics" physician in Vancouvar, Washington. Her current practice location is
7410 Delaware Ln, Sea-mar Community Health Center, Vancouvar, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 896-5128.
Caroline O Agbetunsin is licensed to practice in Nevada (license number 11279) 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 1740250836.
Physician's Profile
Full Name | Caroline O Agbetunsin |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 7410 Delaware Ln, Vancouvar, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740250836
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 02/13/2009
Medicare PECOS Information:
- PECOS PAC ID: 9032168000
- Enrollment ID: I20191211000567
Medical Identifiers
Medical identifiers for Caroline O Agbetunsin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740250836 | NPI | - | NPPES |
100504870 | Medicaid | NV | |
100504867 | Medicaid | NV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 11279 (Nevada) | 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. Caroline O Agbetunsin allows following entities to bill medicare on her behalf.
Entity Name | Sea-mar Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
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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. Caroline O Agbetunsin 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 |
Caroline O Agbetunsin, MD Po Box 34703, Seattle, WA 98124-1703 Ph: (206) 764-3335 | Caroline O Agbetunsin, MD 7410 Delaware Ln, Sea-mar Community Health Center, Vancouvar, WA 91664-1408 Ph: (360) 896-5128 |
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