Dr Olalekan Henry Ajibowo, MD is a medicare enrolled "Internal Medicine" physician in Commerce, Georgia. His current practice location is
413 Pottery Factory Dr, Commerce, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 423-9449.
Dr Olalekan Henry Ajibowo is licensed to practice in Georgia (license number 059896) 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 1235320151.
Physician's Profile
| Full Name | Dr Olalekan Henry Ajibowo |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 413 Pottery Factory Dr, Commerce, Georgia |
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| Accepts Medicare Assignments | Yes. 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 Olalekan Henry Ajibowo attended and graduated from in
NPI Data:
- NPI Number: 1235320151
- Provider Enumeration Date: 08/06/2007
- Last Update Date: 12/12/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Olalekan Henry Ajibowo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235320151 | NPI | - | NPPES |
| 012327700 | Medicaid | FL | |
| 029471605E | Medicaid | GA | |
| 029471605K | Medicaid | GA | |
| 029471605L | Medicaid | GA | |
| 029471605M | Medicaid | GA | |
| 029471605I | Medicaid | GA | |
| 029471605C | Medicaid | GA | |
| 029471605J | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 059896 (Georgia) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 059896 (Georgia) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 059896 (Georgia) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 059896 (Georgia) | Secondary |
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 Olalekan Henry Ajibowo 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 Olalekan Henry Ajibowo, MD
413 Pottery Factory Dr,
Commerce, GA 30529-6682
Ph: (706) 423-9449 | Dr Olalekan Henry Ajibowo, MD
413 Pottery Factory Dr,
Commerce, GA 30529-6682
Ph: (706) 423-9449 |
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