Dr Clement O Ayanbadejo, - Medicare Emergency Medicine in Duluth, GA

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Dr Clement O Ayanbadejo, is a medicare enrolled "Family Medicine" physician in Duluth, Georgia. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Anemonefish Inpatient Services Llc, Emergency Physician Services Of New York, P.c. and his current practice location is 2282 Meadow Church Rd, Ste 200, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 625-2089.

Dr Clement O Ayanbadejo is licensed to practice in Georgia (license number 069369) 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 1154552990.

Contact Information

Dr Clement O Ayanbadejo,
2282 Meadow Church Rd, Ste 200,
Duluth, GA 30097-5318
(678) 625-2089
Not Available

Map and Direction




Physician's Profile

Full NameDr Clement O Ayanbadejo
GenderMale
SpecialityEmergency Medicine
Experience24 Years
Location2282 Meadow Church Rd, Duluth, Georgia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Clement O Ayanbadejo graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1154552990
  • Provider Enumeration Date: 07/28/2009
  • Last Update Date: 12/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9931341070
  • Enrollment ID: I20130820000273

Medical Identifiers

Medical identifiers for Dr Clement O Ayanbadejo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154552990NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 273068-1 (New York)Secondary
207Q00000XFamily Medicine 34824 (Alabama)Secondary
207Q00000XFamily Medicine 04-34527 (Kansas)Secondary
207Q00000XFamily Medicine 069369 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rome Memorial Hospital, IncRome, NYHospital

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 Clement O Ayanbadejo allows following entities to bill medicare on his behalf.
Entity NameGeorgia Inpatient Medicine Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558314112
PECOS PAC ID: 5496645525
Enrollment ID: O20040319001105
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20040901000766
Entity NameAnemonefish Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033514716
PECOS PAC ID: 7012236664
Enrollment ID: O20150501001344
Entity NameClement Ayanbadejo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811553084
PECOS PAC ID: 7315372810
Enrollment ID: O20200125000008

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 Clement O Ayanbadejo 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 AddressPractice Location Address
Dr Clement O Ayanbadejo,
3470 Mcclure Bridge Rd, Unit 388,
Duluth, GA 30096-1104

Ph: () -		Dr Clement O Ayanbadejo,
2282 Meadow Church Rd, Ste 200,
Duluth, GA 30097-5318

Ph: (678) 625-2089

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.