Dr Mercy Adeola Odueyungbo, MD, is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Munising, Michigan. She went to Indiana University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Concierge Dermatology And Skin Surgery Center and her current practice location is
1500 Sandpoint Rd, Munising, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 362-7546.
Dr Mercy Adeola Odueyungbo is licensed to practice in Michigan (license number 4301108524) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801107552.
Physician's Profile
Full Name | Dr Mercy Adeola Odueyungbo |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 14 Years |
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Location | 1500 Sandpoint Rd, Munising, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Mercy Adeola Odueyungbo attended and graduated from Indiana University School Of Medicine in 2010
NPI Data:
- NPI Number: 1801107552
- Provider Enumeration Date: 06/28/2010
- Last Update Date: 10/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 2062726425
- Enrollment ID: I20150730010890
Medical Identifiers
Medical identifiers for Dr Mercy Adeola Odueyungbo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801107552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 4301108524 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Concierge Dermatology And Skin Surgery Center | 8123377405 | 4 |
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 Mercy Adeola Odueyungbo allows following entities to bill medicare on her behalf.
Entity Name | Concierge Dermatology & Skin Surgery Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417442898 PECOS PAC ID: 8123377405 Enrollment ID: O20180820002512 |
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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 Mercy Adeola Odueyungbo 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 Mercy Adeola Odueyungbo, MD, 540 S Lakeshore Blvd Unit 34, Marquette, MI 49855-4631 Ph: (906) 362-7546 | Dr Mercy Adeola Odueyungbo, MD, 1500 Sandpoint Rd, Munising, MI 49862 Ph: (906) 362-7546 |
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