Dr Ajibola Abidemi Babatunde, is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Alpharetta, Georgia. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Addiction Medicine. He is a member of the group practice Midnight Rose, Llc, Rural Physicians Group-pannu Pllc and his current practice location is
2475 Northwinds Pkwy Ste 200, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 702-4488.
Dr Ajibola Abidemi Babatunde is licensed to practice in Georgia (license number 91068) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1629573936.
Physician's Profile
| Full Name | Dr Ajibola Abidemi Babatunde |
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| Gender | Male |
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| Speciality | Addiction Medicine |
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| Experience | 7 Years |
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| Location | 2475 Northwinds Pkwy Ste 200, Alpharetta, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ajibola Abidemi Babatunde graduated from medical school in 2018
NPI Data:
- NPI Number: 1629573936
- Provider Enumeration Date: 03/28/2018
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143570770
- Enrollment ID: I20230522002010
Medical Identifiers
Medical identifiers for Dr Ajibola Abidemi Babatunde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629573936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 91068 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 14722A (Wyoming) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 91068 (Georgia) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 25MA11151100 (New Jersey) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 91068 (Georgia) | Primary |
Medical Facilities Affiliation
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 Ajibola Abidemi Babatunde allows following entities to bill medicare on his behalf.
| Entity Name | Midnight Rose, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386260131
PECOS PAC ID: 7214352483
Enrollment ID: O20200805000549 |
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| Entity Name | Hardy Renew Wellness,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952914368
PECOS PAC ID: 2961812425
Enrollment ID: O20201112000534 |
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| Entity Name | Addiction Treatment Center Of Atlanta Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992400204
PECOS PAC ID: 0042675092
Enrollment ID: O20230427000765 |
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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. Dr Ajibola Abidemi Babatunde 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 Ajibola Abidemi Babatunde,
2475 Northwinds Pkwy Ste 200,
Alpharetta, GA 30009-4844
Ph: (678) 702-4488 | Dr Ajibola Abidemi Babatunde,
2475 Northwinds Pkwy Ste 200,
Alpharetta, GA 30009-4844
Ph: (678) 702-4488 |
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