Dr Olabode Olaosebikan Desalu, MD in Springdale, AR

Dr Olabode Olaosebikan Desalu, MD is a medicare enrolled "Pediatrics" physician in Springdale, Arkansas. Her current practice location is 2601 Gene George Blvd, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 725-6977.

Dr Olabode Olaosebikan Desalu is licensed to practice in Arkansas (license number E-11228) 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 1093732950.

Contact Information

	Dr Olabode Olaosebikan Desalu, MD
	2601 Gene George Blvd, Springdale, AR 72762-0845
	(479) 725-6977
	(479) 725-6577

Map and Direction

Physician's Profile

Full Name	Dr Olabode Olaosebikan Desalu
Gender	Female
Speciality	Pediatrics
Location	2601 Gene George Blvd, Springdale, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093732950
Provider Enumeration Date: 07/16/2006
Last Update Date: 01/21/2020

Medicare PECOS Information:

PECOS PAC ID: 6608856091
Enrollment ID: I20040726000234

Medical Identifiers

Medical identifiers for Dr Olabode Olaosebikan Desalu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093732950	NPI	-	NPPES
1470635	Medicaid	LA
176387001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	T2018-031 (Arkansas)	Secondary
208000000X	Pediatrics	15345R (Louisiana)	Secondary
208000000X	Pediatrics	E-11228 (Arkansas)	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 Olabode Olaosebikan Desalu allows following entities to bill medicare on her behalf.

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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 Olabode Olaosebikan Desalu 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 Olabode Olaosebikan Desalu, MD 1 Children's Way, Slot 844, Little Rock, AR 72202-3500 Ph: (501) 364-2090	Dr Olabode Olaosebikan Desalu, MD 2601 Gene George Blvd, Springdale, AR 72762-0845 Ph: (479) 725-6977

Reviews and Comments

Pediatrics Doctors in Springdale, AR

Jeffrey Dale Grills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6977 Fax: 479-725-6577
Casie Marie James, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6866 Fax: 479-725-6868
Dr. Sarah Morris Weston, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6977 Fax: 479-725-6577
Andrew Arthur Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 794-725-6801 Fax: 479-725-6577
Sarah Jeffreys, Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6801 Fax: 479-725-6577
Dr. Hilary H Mcclafferty, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6801 Fax: 479-725-6577

Dr Olabode Olaosebikan Desalu, MD - Medicare Pediatrics in Springdale, AR