Ajike Ogunsulire Etumadu, in Charlotte, NC

Ajike Ogunsulire Etumadu, is a medicare enrolled "Internal Medicine" physician in Charlotte, North Carolina. She graduated from medical school in 1988 and has 37 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Carolinas Physicians Network Inc, 24 On Physicians Pc and her current practice location is 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 355-0720.

Ajike Ogunsulire Etumadu is licensed to practice in North Carolina (license number 2011-01885) 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 1457316168.

Contact Information

	Ajike Ogunsulire Etumadu,
	1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812
	(704) 355-0720
	Not Available

Map and Direction

Physician's Profile

Full Name	Ajike Ogunsulire Etumadu
Gender	Female
Speciality	Hospitalist
Experience	37 Years
Location	1000 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ajike Ogunsulire Etumadu graduated from medical school in 1988

NPI Data:

NPI Number: 1457316168
Provider Enumeration Date: 04/18/2006
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3173538097
Enrollment ID: I20120525000172

Medical Identifiers

Medical identifiers for Ajike Ogunsulire Etumadu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457316168	NPI	-	NPPES
NC1553	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	2011-01885 (North Carolina)	Secondary
208M00000X	Hospitalist	51653 (South Carolina)	Secondary
207R00000X	Internal Medicine	2011-01885 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center-northeast	Concord, NC	Hospital
Anmed Health	Anderson, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolinas Physicians Network Inc	3375449655	1649
24 On Physicians Pc	5698688141	237

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. Ajike Ogunsulire Etumadu allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679528384 PECOS PAC ID: 1153234893 Enrollment ID: O20060828000304

Entity Name	Nh Digital Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074

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. Ajike Ogunsulire Etumadu 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
Ajike Ogunsulire Etumadu, 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: () -	Ajike Ogunsulire Etumadu, 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 Ph: (704) 355-0720

Reviews and Comments

Internal Medicine Doctors in Charlotte, NC

Dr. Anish Kaushik Vani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Queens Rd Ste 200, Charlotte, NC 28204 Phone: 704-343-9800 Fax: 704-347-2011
John Michael Fedor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212
Dr. Michael Warren Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6115 Park South Dr Ste 100, Charlotte, NC 28210 Phone: 704-554-8787 Fax: 704-554-8774
William Lane Jr., MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-4490
Dr. Alagusivakumari Rameshbabu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-667-8050
Shibin Thomas Jacob, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E W T Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262 Phone: 704-863-5847
Oscar Sven Brann, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 Phone: 704-489-3094

Ajike Ogunsulire Etumadu, - Medicare Hospitalist in Charlotte, NC