Dr Olufemi Ebunolu Balogun, MD in Upper Marlboro, MD

Dr Olufemi Ebunolu Balogun, MD is a medicare enrolled "Family Medicine" physician in Upper Marlboro, Maryland. He went to Howard University College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and his current practice location is 1221 Mercantile Ln, Upper Marlboro, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 618-5500.

Dr Olufemi Ebunolu Balogun is licensed to practice in Maryland (license number D83130) 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 1194010678.

Contact Information

	Dr Olufemi Ebunolu Balogun, MD
	1221 Mercantile Ln, Upper Marlboro, MD 20774-5374
	(301) 618-5500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Olufemi Ebunolu Balogun
Gender	Male
Speciality	Emergency Medicine
Experience	13 Years
Location	1221 Mercantile Ln, Upper Marlboro, Maryland
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 Olufemi Ebunolu Balogun attended and graduated from Howard University College Of Medicine in 2011

NPI Data:

NPI Number: 1194010678
Provider Enumeration Date: 06/13/2011
Last Update Date: 06/10/2021

Medicare PECOS Information:

PECOS PAC ID: 6204109309
Enrollment ID: I20170912003246

Medical Identifiers

Medical identifiers for Dr Olufemi Ebunolu Balogun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194010678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD044945 (District Of Columbia)	Secondary
207Q00000X	Family Medicine	0101262023 (Virginia)	Secondary
207Q00000X	Family Medicine	D83130 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc	3779495858	1628

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 Olufemi Ebunolu Balogun allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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 Olufemi Ebunolu Balogun 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 Olufemi Ebunolu Balogun, MD 2101 E Jefferson St Ste 6w, Rockville, MD 20852-4908 Ph: (301) 816-5853	Dr Olufemi Ebunolu Balogun, MD 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 Ph: (301) 618-5500

Reviews and Comments

Family Medicine Doctors in Upper Marlboro, MD

Jericho De Mata, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-618-5500
David Auh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-618-5500
Alyssa Mckenna, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Lane, Upper Marlboro, MD 20774 Phone: 301-386-6600 Fax: 724-770-7947
Dr. John Herman Wills, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14310 Old Marlboro Pike, Upper Marlboro, MD 20772 Phone: 301-627-1448 Fax: 301-627-5010
Hannah Korman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13400 Edgemeade Rd, Upper Marlboro, MD 20772 Phone: 240-681-6000
Aklecia Mcvoy, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9440 Marlboro Pike, Building 8, Upper Marlboro, MD 20772 Phone: 301-952-8614

Dr Olufemi Ebunolu Balogun, MD - Medicare Emergency Medicine in Upper Marlboro, MD