Dr Ezekiel Oladejo Adetunji, MD - Medicare Family Practice in Jackson, TN

Dr Ezekiel Oladejo Adetunji, MD is a medicare enrolled "Family Medicine" physician in Jackson, Tennessee. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Amen Clinic Pc, Emergency Medical Care Facilities Pc and his current practice location is 150 Murray Guard Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 300-3168.

Dr Ezekiel Oladejo Adetunji is licensed to practice in Tennessee (license number 44164) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033302013.

Contact Information

Dr Ezekiel Oladejo Adetunji, MD
150 Murray Guard Dr,
Jackson, TN 38305-3609
(731) 300-3168
(731) 300-3169

Map and Direction




Physician's Profile

Full NameDr Ezekiel Oladejo Adetunji
GenderMale
SpecialityFamily Practice
Experience42 Years
Location150 Murray Guard Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ezekiel Oladejo Adetunji graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1033302013
  • Provider Enumeration Date: 08/22/2007
  • Last Update Date: 02/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789743469
  • Enrollment ID: I20081110000810

Medical Identifiers

Medical identifiers for Dr Ezekiel Oladejo Adetunji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033302013NPI-NPPES
3002429MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 44164 (Tennessee)Primary
207Q00000XFamily Medicine 001924 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital
Bolivar General HospitalBolivar, TNHospital
Camden General HospitalCamden, TNHospital
Bailey Park ClcHumboldt, TNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amen Clinic Pc39717654212
Emergency Medical Care Facilities Pc610383787730

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 Ezekiel Oladejo Adetunji allows following entities to bill medicare on his behalf.
Entity NameEmergency Medical Care Facilities Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538345855
PECOS PAC ID: 6103837877
Enrollment ID: O20060509000565
Entity NameAmen Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407121551
PECOS PAC ID: 3971765421
Enrollment ID: O20120430000724

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 Ezekiel Oladejo Adetunji 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 Ezekiel Oladejo Adetunji, MD
139 Stonebridge Blvd,
Jackson, TN 38305-2040

Ph: (731) 300-3168
Dr Ezekiel Oladejo Adetunji, MD
150 Murray Guard Dr,
Jackson, TN 38305-3609

Ph: (731) 300-3168

Reviews and Comments


Family Medicine Doctors in Jackson, TN

Parker Panovec, MD
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Phone: 731-660-8360    Fax: 731-664-7928
Michael James Martin, DO
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Melissa A Robbins, MD
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Kenneth R. Warren, M.D.
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Anna Elizabeth Glass Burgess, MD
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Phone: 731-664-1375    Fax: 731-664-1378
Christopher Reyes Caangay, MD
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Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-541-3755    

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.