Dr Gabriella Odudu, MD is a medicare enrolled "Pediatrics" physician in Bloomington, California. Her current practice location is
18601 Valley Blvd, Bloomington, California. You can reach out to her office (for appointments etc.) via phone at
(909) 546-7560.
Dr Gabriella Odudu is licensed to practice in California (license number A196863) 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 1104491752.
Physician's Profile
Full Name | Dr Gabriella Odudu |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 18601 Valley Blvd, Bloomington, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104491752
- Provider Enumeration Date: 05/25/2021
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971044355
- Enrollment ID: I20240925003300
Medical Identifiers
Medical identifiers for Dr Gabriella Odudu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104491752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A196863 (California) | 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 Gabriella Odudu allows following entities to bill medicare on her behalf.
Entity Name | Community Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952308009 PECOS PAC ID: 7012824717 Enrollment ID: O20051117000822 |
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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 Gabriella Odudu 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 Gabriella Odudu, MD 26384 Fowler Dr, Loma Linda, CA 92354-6579 Ph: (323) 552-3487 | Dr Gabriella Odudu, MD 18601 Valley Blvd, Bloomington, CA 92316-1831 Ph: (909) 546-7560 |
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