Dr Aderonke Olufunlola Bamgbose Pederson, MD - Medicare Psychiatry in Boston, MA

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Dr Aderonke Olufunlola Bamgbose Pederson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Boston, Massachusetts. She went to Northwestern University Feinberg Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Massachusetts General Physicians Organization Inc, Coastal Medical Associates and her current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 724-4100.

Dr Aderonke Olufunlola Bamgbose Pederson is licensed to practice in Massachusetts (license number T290198) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396139655.

Contact Information

Dr Aderonke Olufunlola Bamgbose Pederson, MD
55 Fruit St,
Boston, MA 02114-2621
(617) 724-4100
Not Available

Map and Direction




Physician's Profile

Full NameDr Aderonke Olufunlola Bamgbose Pederson
GenderFemale
SpecialityPsychiatry
Experience9 Years
Location55 Fruit St, Boston, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Aderonke Olufunlola Bamgbose Pederson attended and graduated from Northwestern University Feinberg Medical School in 2015
  NPI Data:
  • NPI Number: 1396139655
  • Provider Enumeration Date: 03/25/2015
  • Last Update Date: 06/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567745318
  • Enrollment ID: I20210930002257

Medical Identifiers

Medical identifiers for Dr Aderonke Olufunlola Bamgbose Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396139655NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 1396139655 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry T290198 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Shore HospitalSouth weymouth, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Massachusetts General Physicians Organization Inc24663658203084
Coastal Medical Associates7113029257424

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. Dr Aderonke Olufunlola Bamgbose Pederson allows following entities to bill medicare on her behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434
Entity NameDimock Community Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326193269
PECOS PAC ID: 4385677038
Enrollment ID: O20050914000391
Entity NameCoastal Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932175684
PECOS PAC ID: 7113029257
Enrollment ID: O20070221000057
Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351
Entity NameEmerson Practice Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508020199
PECOS PAC ID: 8123188117
Enrollment ID: O20081120000518

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. Dr Aderonke Olufunlola Bamgbose Pederson 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 AddressPractice Location Address
Dr Aderonke Olufunlola Bamgbose Pederson, MD
64 Bertwell Rd,
Lexington, MA 02420-3330

Ph: (773) 310-3224		Dr Aderonke Olufunlola Bamgbose Pederson, MD
55 Fruit St,
Boston, MA 02114-2621

Ph: (617) 724-4100

Reviews and Comments


Psychiatry & Neurology Doctors in Boston, MA

Dr. Lee Edwin Goldstein, M.D., PH.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 670 Albany St, Boston, MA 02118
Phone: 617-414-8361    Fax: 617-414-7073
Dr. Joseph Yeretsian, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 361 Newbury St Fl 5, Boston, MA 02115
Phone: 617-865-4910    Fax: 617-507-1426
Dr. Michael Gulliver Erkkinen, M.D.
Psychiatry & Neurology
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Practice Location: 75 Francis St, Boston, MA 02115
Phone: 617-732-5500    
Dr. Joseph Jeffrey Taylor, M.D., PH.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 60 Fenwood Rd, Boston, MA 02115
Phone: 617-732-5500    
Sanjay Menon, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114
Phone: 857-238-5600    
Fatemeh Mohammadpour Touserkani,
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 300 Longwood Ave, Boston, MA 02115
Phone: 617-355-6000    
Lara Basovic, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 15 Parkman St Fl 8, Boston, MA 02114
Phone: 617-726-3311    Fax: 617-726-9250

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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