Dr Agbolade O Odutayo, DO - Medicare Emergency Medicine in Cameron, TX

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Dr Agbolade O Odutayo, DO is a medicare enrolled "Emergency Medicine" physician in Cameron, Texas. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1996 and has 28 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Acs Primary Care Physicians Southwest Pa, Ess Of Port Lavaca Llc, Ess Of Crockett, Llc, Third Coast Emergency Physicians Southwest Pa and his current practice location is 300 W 4th St, Cameron, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 697-3100.

Dr Agbolade O Odutayo is licensed to practice in Texas (license number K6196) 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 1316992779.

Contact Information

Dr Agbolade O Odutayo, DO
300 W 4th St,
Cameron, TX 76520-2509
(254) 697-3100
(254) 697-3112

Map and Direction




Physician's Profile

Full NameDr Agbolade O Odutayo
GenderMale
SpecialityEmergency Medicine
Experience28 Years
Location300 W 4th St, Cameron, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Agbolade O Odutayo attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1996
  NPI Data:
  • NPI Number: 1316992779
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 01/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709873680
  • Enrollment ID: I20040430000923

Medical Identifiers

Medical identifiers for Dr Agbolade O Odutayo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316992779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine K6196 (Texas)Secondary
207Q00000XFamily Medicine K6196 (Texas)Secondary
207P00000XEmergency Medicine K6196 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Emergency HospitalSan antonio, TXHospital
Ut Health East Texas Athens HospitalAthens, TXHospital
Memorial Medical CenterPort lavaca, TXHospital
Crockett Medical CenterCrockett, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acs Primary Care Physicians Southwest Pa1850204363229
Ess Of Port Lavaca Llc276976600524
Ess Of Crockett, Llc367894277812
Third Coast Emergency Physicians Southwest Pa680079444746

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 Agbolade O Odutayo allows following entities to bill medicare on his behalf.
Entity NameThird Coast Emergency Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497793475
PECOS PAC ID: 6800794447
Enrollment ID: O20031222000126
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameTexas Emergency Staffing Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811942949
PECOS PAC ID: 0345297610
Enrollment ID: O20050407001290
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameTexas Ess Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235472556
PECOS PAC ID: 8921248162
Enrollment ID: O20140115001155
Entity NameEmergency Medical Doctors Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811227150
PECOS PAC ID: 1052542693
Enrollment ID: O20140325001739
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameEss Of South Texas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295128247
PECOS PAC ID: 9739491176
Enrollment ID: O20150629000248
Entity NameHospital Care Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912945635
PECOS PAC ID: 9032131735
Enrollment ID: O20150915001950
Entity NameEss Of Nacogdoches Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780139956
PECOS PAC ID: 3375821630
Enrollment ID: O20161021000335
Entity NameHospital Care Consultants Of Corpus Christi
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275088452
PECOS PAC ID: 5092093153
Enrollment ID: O20161025002578
Entity NameEss Of Port Lavaca Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922546936
PECOS PAC ID: 2769766005
Enrollment ID: O20170303001868
Entity NameEmergency Hospital Systems Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992172019
PECOS PAC ID: 2567765761
Enrollment ID: O20170607000131
Entity NameEss Of Fairfield Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588132856
PECOS PAC ID: 9234475526
Enrollment ID: O20190108000545
Entity NameHcc Of Fairfield Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487122750
PECOS PAC ID: 3072859099
Enrollment ID: O20190114000163
Entity NameTk Emergency Physicians Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942728019
PECOS PAC ID: 2567799091
Enrollment ID: O20190807000556
Entity NameCorevant Health Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720717622
PECOS PAC ID: 9830571827
Enrollment ID: O20220808002782
Entity NameEss Of Crockett, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649988635
PECOS PAC ID: 3678942778
Enrollment ID: O20221213000258

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 Agbolade O Odutayo 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 Agbolade O Odutayo, DO
300 W 4th St,
Cameron, TX 76520-2509

Ph: (254) 697-3100		Dr Agbolade O Odutayo, DO
300 W 4th St,
Cameron, TX 76520-2509

Ph: (254) 697-3100

Reviews and Comments


Emergency Medicine Doctors in Cameron, TX


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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.