Dr Anthony Adebayo Adetomiwa, MD in Moultrie, GA

Dr Anthony Adebayo Adetomiwa, MD is a medicare enrolled "Pediatrics" physician in Moultrie, Georgia. His current practice location is 3131 S Main St, Moultrie, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 891-9131.

Dr Anthony Adebayo Adetomiwa is licensed to practice in Georgia (license number 92799) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902469752.

Contact Information

	Dr Anthony Adebayo Adetomiwa, MD
	3131 S Main St, Moultrie, GA 31768-6925
	(229) 891-9131
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Anthony Adebayo Adetomiwa
Gender	Male
Speciality	Pediatrics
Location	3131 S Main St, Moultrie, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902469752
Provider Enumeration Date: 04/17/2019
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 3173905916
Enrollment ID: I20220727000189

Medical Identifiers

Medical identifiers for Dr Anthony Adebayo Adetomiwa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902469752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	92799 (Georgia)	Primary

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 Anthony Adebayo Adetomiwa allows following entities to bill medicare on his behalf.

Entity Name	Cogent Healthcare Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856

Entity Name	Colquitt Regional Hospitalists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851840912 PECOS PAC ID: 0749568780 Enrollment ID: O20161026002551

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 Anthony Adebayo Adetomiwa 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 Anthony Adebayo Adetomiwa, MD Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9131	Dr Anthony Adebayo Adetomiwa, MD 3131 S Main St, Moultrie, GA 31768-6925 Ph: (229) 891-9131

Reviews and Comments

Pediatrics Doctors in Moultrie, GA

Dr. Debra S Selby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Sweet Bay Ct Ste A, Moultrie, GA 31768 Phone: 229-985-1457
Dr. Holly M Van De Voort, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Hospital Park, Moultrie, GA 31768 Phone: 229-985-3320
Dr. Buford Otto Edwards Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 760 26th Ave Se, Moultrie, GA 31768 Phone: 229-985-1457 Fax: 229-890-9430
Dr. Patricia Lee June, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1317 S Main St, Moultrie, GA 31768 Phone: 229-985-7177 Fax: 229-890-5373

Dr Anthony Adebayo Adetomiwa, MD - Medicare Pediatrics in Moultrie, GA