Dr Olufunke M Adeyemo, MD is a medicare enrolled "Pediatrics" physician in Wayne, Michigan. Her current practice location is
3106 S Wayne Rd, Wayne, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 351-3166.
Dr Olufunke M Adeyemo is licensed to practice in Michigan (license number 4301106696) 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 1164813739.
Physician's Profile
Full Name | Dr Olufunke M Adeyemo |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 3106 S Wayne Rd, Wayne, Michigan |
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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: 1164813739
- Provider Enumeration Date: 02/18/2015
- Last Update Date: 06/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527384536
- Enrollment ID: I20181024000251
Medical Identifiers
Medical identifiers for Dr Olufunke M Adeyemo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164813739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 4301106696 (Michigan) | 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 Olufunke M Adeyemo allows following entities to bill medicare on her behalf.
Entity Name | Fairfield Pediatrics, P.l.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710566310 PECOS PAC ID: 9335545797 Enrollment ID: O20210909002817 |
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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 Olufunke M Adeyemo 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 Olufunke M Adeyemo, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Dr Olufunke M Adeyemo, MD 3106 S Wayne Rd, Wayne, MI 48184-1221 Ph: (734) 351-3166 |
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