Dr Agbolade O Odutayo, DO is a medicare enrolled "Emergency Medicine" physician in Cameron, Texas. 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.
Physician's Profile
| Full Name | Dr Agbolade O Odutayo |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 300 W 4th St, Cameron, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Agbolade O Odutayo attended and graduated from in
NPI Data:
- NPI Number: 1316992779
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 01/29/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Agbolade O Odutayo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316992779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | K6196 (Texas) | Secondary |
| 207Q00000X | Family Medicine | K6196 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | K6196 (Texas) | Primary |
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 Address | Practice 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 |
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