Dr Olabisi A Jagun, MD is a medicare enrolled "Emergency Medicine" physician in Potomac, Maryland. Her current practice location is
12600 Hill Creek Ln, Potomac, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 401-5953.
Dr Olabisi A Jagun is licensed to practice in District Of Columbia (license number MD16916) 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 1679522023.
Physician's Profile
Full Name | Dr Olabisi A Jagun |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 12600 Hill Creek Ln, Potomac, Maryland |
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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: 1679522023
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496725582
- Enrollment ID: I20120723000724
Medical Identifiers
Medical identifiers for Dr Olabisi A Jagun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679522023 | NPI | - | NPPES |
030100500 | Medicaid | DC | |
3810007727 | Medicaid | WV | |
1679522023 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD16916 (District Of Columbia) | Primary |
207P00000X | Emergency Medicine | 0101046802 (Virginia) | Secondary |
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 Olabisi A Jagun allows following entities to bill medicare on her behalf.
Entity Name | Davis Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438 |
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Entity Name | West Virginia Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952776379 PECOS PAC ID: 7618270323 Enrollment ID: O20160128002708 |
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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 Olabisi A Jagun 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 Olabisi A Jagun, MD 12600 Hill Creek Ln, Potomac, MD 20854-1184 Ph: (240) 401-5953 | Dr Olabisi A Jagun, MD 12600 Hill Creek Ln, Potomac, MD 20854-1184 Ph: (240) 401-5953 |
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