Dr Marc T Awobuluyi, MD - Medicare Diagnostic Radiology in Eden Prairie, MN

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Dr Marc T Awobuluyi, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. He went to Harvard Medical School and graduated in 2000 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice American Diagnostics Services Llc, Community Mobile Diagnostics Llc, Symphony Diagnostic Services No 1 Llc, Image Guided Therapeutics Inc, Reono Bertagnolli A Medical Group, Community Mobile Diagnostics Llc, Reono Bertagnolli A Medical Group and his current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1100.

Dr Marc T Awobuluyi is licensed to practice in California (license number A84420) 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 1962512145.

Contact Information

Dr Marc T Awobuluyi, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349
(952) 595-1100
(612) 294-4903

Map and Direction




Physician's Profile

Full NameDr Marc T Awobuluyi
GenderMale
SpecialityDiagnostic Radiology
Experience24 Years
Location11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
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 Marc T Awobuluyi attended and graduated from Harvard Medical School in 2000
  NPI Data:
  • NPI Number: 1962512145
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 06/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5991701948
  • Enrollment ID: I20061013000379

Medical Identifiers

Medical identifiers for Dr Marc T Awobuluyi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962512145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A84420 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary's Medical CenterSan francisco, CAHospital
Sequoia HospitalRedwood city, CAHospital
Saint Francis Memorial HospitalSan francisco, CAHospital
Englewood Hospital And Medical CenterEnglewood, NJHospital
Hackensack University Medical CenterHackensack, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Diagnostics Services Llc135524127410
Community Mobile Diagnostics Llc47896106434
Symphony Diagnostic Services No 1 Llc519363876515
Image Guided Therapeutics Inc660887489615
Reono Bertagnolli A Medical Group680070978342
Community Mobile Diagnostics Llc47896106434
Reono Bertagnolli A Medical Group680070978342

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 Marc T Awobuluyi allows following entities to bill medicare on his behalf.
Entity NameUniversity Of California Sfgh Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063487122
PECOS PAC ID: 5496668410
Enrollment ID: O20031106000503
Entity NameReono Bertagnolli A Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134424005
PECOS PAC ID: 6800709783
Enrollment ID: O20050523000679
Entity NameCommunity Mobile Diagnostics Llc
Entity TypePart B Supplier - Portable X-ray Supplier
Entity IdentifiersNPI Number: 1023104007
PECOS PAC ID: 4789610643
Enrollment ID: O20050712000635
Entity NameKan-di-ki Llc
Entity TypePart B Supplier - Portable X-ray Supplier
Entity IdentifiersNPI Number: 1750364345
PECOS PAC ID: 5991737140
Enrollment ID: O20051026000145
Entity NameImage Guided Therapeutics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316968910
PECOS PAC ID: 6608874896
Enrollment ID: O20061122000480
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455
Entity NameEllis Bandt Birkin Kollins & Wong Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578584678
PECOS PAC ID: 4486568946
Enrollment ID: O20111020000050
Entity NameSymphony Diagnostic Services No 1 Llc
Entity TypePart B Supplier - Portable X-ray Supplier
Entity IdentifiersNPI Number: 1013217769
PECOS PAC ID: 5193638765
Enrollment ID: O20140408002286
Entity NameSymphony Diagnostic Services No 1 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700865094
PECOS PAC ID: 5193638765
Enrollment ID: O20150416002087
Entity NamePontchartrain Diagnostic Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760734685
PECOS PAC ID: 1951552900
Enrollment ID: O20150819008726
Entity NameCommunity Mobile Diagnostics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023104007
PECOS PAC ID: 4789610643
Enrollment ID: O20161012002786
Entity NameCommunity Mobile Ultrasound Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760620959
PECOS PAC ID: 4183761893
Enrollment ID: O20161013002290
Entity NameAmerican Diagnostics Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639140387
PECOS PAC ID: 1355241274
Enrollment ID: O20170317001102
Entity NameGainesville Radiology Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922037605
PECOS PAC ID: 9335046382
Enrollment ID: O20220317002212

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 Marc T Awobuluyi 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 Marc T Awobuluyi, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1100		Dr Marc T Awobuluyi, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1100

Reviews and Comments


Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Christopher Calixte, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Paul D Guisler, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Rati N Patel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Jacob Gebrael, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Susanne S. Kim, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Gwendolyn Durgin, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903

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.