Dr Bolanle Oluwatoyin Ogunde, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Darby, Pennsylvania. Her current practice location is
1500 Lansdowne Ave, Darby, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 237-4000.
Dr Bolanle Oluwatoyin Ogunde is licensed to practice in Tennessee (license number 64188) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528490869.
Physician's Profile
| Full Name | Dr Bolanle Oluwatoyin Ogunde |
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| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1500 Lansdowne Ave, Darby, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528490869
- Provider Enumeration Date: 08/08/2013
- Last Update Date: 07/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577945781
- Enrollment ID: I20220804002739
Medical Identifiers
Medical identifiers for Dr Bolanle Oluwatoyin Ogunde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528490869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MT204041 (Pennsylvania) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 64188 (Tennessee) | 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 Bolanle Oluwatoyin Ogunde allows following entities to bill medicare on her behalf.
| Entity Name | Meharry Medical College |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205859279
PECOS PAC ID: 3375456163
Enrollment ID: O20031107000391 |
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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 Bolanle Oluwatoyin Ogunde 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 Bolanle Oluwatoyin Ogunde, MD
151 S Bishop Ave, Apt I9,
Secane, PA 19018-1971
Ph: (215) 327-1363 | Dr Bolanle Oluwatoyin Ogunde, MD
1500 Lansdowne Ave,
Darby, PA 19023-1200
Ph: (610) 237-4000 |
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